[1]贺 清,薛 超,李步潆,等.Standford A型主动脉夹层动脉瘤患者杂交手术后谵妄特征及发生的危险因素分析*[J].陕西医学杂志,2020,49(11):1432-1435.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.016]
　HE Qing,XUE Chao,LI Buying,et al.Characteristics and risk factors of delirium after hybrid surgery in patients with Standford type A aortic dissecting aneurysm[J].,2020,49(11):1432-1435.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.016]
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Standford A型主动脉夹层动脉瘤患者杂交手术后谵妄特征及发生的危险因素分析*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年11期
页码:
1432-1435
栏目:
临床研究
出版日期:
2020-11-05

文章信息/Info

Title:
Characteristics and risk factors of delirium after hybrid surgery in patients with Standford type A aortic dissecting aneurysm
作者:
贺 清; 薛 超; 李步潆; 闫晓丽; 吕珊珊; 金振晓; 俞 波Δ
空军军医大学西京医院心血管外科(西安 710032)
Author(s):
HE Qing; XUE Chao; LI Buying; et al.
Department of Cardiovascular Surgery,Xijing Hospital,Air Force Medical University(Xi'an 710032)
关键词:
Standford A型;  主动脉夹层动脉瘤;  杂交手术;  谵妄;  危险因素;  安全性
Keywords:
Standford type A;  Aortic dissecting aneurysm;  Hybrid surgery;  Delirium;  Risk factors;  Safety
分类号:
R654.2
DOI:
DOI:10.3969/j.issn.1000-7377.2020.11.016
文献标志码:
A
摘要:
目的:研究Standford A型主动脉夹层动脉瘤(ADA)患者杂交手术后谵妄特征及发生的危险因素。方法:纳入Standford A型ADA患者300例,所有患者均行杂交手术。分析杂交手术效果以及患者术后谵妄发生的特征。使用二元Logistic分析影响Standford A型ADA患者杂交术后谵妄发生的因素。 结果:300例Standford A型ADA患者杂交手术均成功进行,围术期死亡12例(4.00%)。谵妄发生率为30.67%。谵妄持续时间以≤24 h为主(76.09%),患者在临床中主要表现为躁动不安(82.61%)、睡眠-觉醒周期紊乱(72.83%)、短时记忆力损害(60.87%)等症状。脑卒中史、机械通气时间、ICU时间、术后血氧饱和度均为Standford A型ADA患者杂交手术后谵妄发生的影响因素。结论:杂交手术治疗Standford A型ADA的疗效确切,安全性好,术后应密切监测具有脑卒中史、机械通气时间和ICU时间较长以及术后血氧饱和度较低的患者,以减少谵妄的发生,促进患者预后的改善。
Abstract:
Objective:To study the characteristics and risk factors of delirium after hybrid surgery in patients with Standford type A aortic dissecting aneurysm(ADA).Methods:300 patients with Standford type A ADA were enrolled,and all patients underwent hybrid surgery.The effect of hybrid surgery and the characteristics of postoperative delirium were analyzed.Binary logistic analysis was used to analyze the factors affecting the occurrence of delirium after hybrid surgery in Standford A type ADA patients.Results:Hybrid surgery for 300 patients with Standford A type ADA was successfully performed,and 12 patients(4.00%)died during the perioperative period.The incidence of delirium was 30.67%.The duration of delirium was mainly ≤24 hours(76.09%).The main clinical symptoms of patients were restlessness(82.61%),sleep-wake cycle disorder(72.83%),and short-term memory impairment(60.87%).Stroke history,mechanical ventilation time,ICU time,and postoperative blood oxygen saturation were all influencing factors for the occurrence of delirium after hybrid surgery in Standford A type ADA patients.Conclusion:Hybrid surgery for the treatment of Standford A type ADA has definite efficacy and good safety.Patients with a history of stroke,longer mechanical ventilation time and ICU time,and lower blood oxygen saturation after surgery should be closely monitored after surgery to reduce the occurrence of delirium and improve the prognosis of patients.

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备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81570231)
更新日期/Last Update: 2020-11-05