摘要
目的探讨老年股骨颈骨折患者手术室苏醒期躁动发生情况及可能的影响因素。方法选取2017年1月至2020年8月期间医院接受手术治疗的117例老年股骨颈骨折患者,统计患者苏醒期躁动发生情况,比较发生与未发生苏醒期躁动患者的基线资料,将全部因素纳入经单因素与多因素分析,找出可能导致老年股骨颈骨折患者手术室苏醒期躁动发生的影响因素。结果117例患者,苏醒期发生躁动20例,发生率为17.09%。是否合并感染、是否合并代谢异常、是否合并贫血、术中是否使用七氟烷、术中是否采用保温护理的老年股骨颈骨折患者手术室苏醒期躁动发生情况对比,差异有统计学意义(P<0.05);将有统计学意义的变量纳入回归分析,结果显示,合并感染、合并代谢异常、合并贫血、术中使用七氟烷均是老年股骨颈骨折患者手术室苏醒期发生躁动的危险因素(OR>1,P<0.05),而术中采用保温护理是其保护因素(OR<1,P<0.05)。结论老年股骨颈骨折患者术后有较高的手术室苏醒期发生风险,可能受患者合并感染、合并代谢异常、合并贫血等因素影响,临床应重视伴有上述风险因素的老年股骨颈骨折患者术后苏醒期躁动的预防。
Objective To explore the occurrence and risk factors of agitation during recovery period in operating room in the elderly patients with femoral neck fracture.Methods A total of 117 elderly patients with femoral neck fracture receiving surgical treatment from January 2017 to August 2020 were enrolled to measure the incidence of agitation in the recovery period of anaesthesia after operation.After comparing the baseline data of patients with or without agitation,univariate and multivariate analysis were used to determine the risk factors leading to agitation.Results The incidence of agitation during recovery period was 17.09%(20/117).The prevalence of infection,metabolic abnormalities and anemia and the use of sevoflurane and thermal insulation measures during operation were statistically correlated with postoperative agitation in patients(P<0.05).The results of regression analysis showed that the risk factors of agitation were infection,metabolic abnormalities,anemia and intraoperative use of sevoflurane(OR>1,P<0.05),and thermal insulation care during operation was protective against agitation(OR<1,P<0.05).Conclusions In the elderly patients with femoral neck fracture undergoing surgical treatment,there is a higher risk of postoperative agitation,more likely in the patients complicated with infection,metabolic abnormalities and anemia.Clinical attention should be paid to the prevention of postoperative agitation for the elderly patients with the above risk factors.
作者
张倩
史美萍
杨莉
文洋
ZHANG Qian;SHI Mei-ping;YANG Li;WEN Yang(Department of Anesthesiology,The Sixth Medical Center of PLA General Hospital,Beijing,100048,China)
出处
《中国临床研究》
CAS
2021年第9期1236-1239,共4页
Chinese Journal of Clinical Research
关键词
股骨颈骨折
苏醒期躁动
感染
代谢异常
贫血
七氟烷
保温护理
Femoral neck fracture
Emergence agitation during the recovery
Infection
Metabolic abnormalities
Anemia
Sevoflurane
Thermal insulation care
