摘要
术后谵妄是严重的术后并发症,与住院时间延长、再入院率增加等不良预后显著相关。术后谵妄是多因素作用的结果,针对其危险因素进行干预可显著降低术后谵妄的发生率。目前,术后谵妄预防趋于多学科、集束化,致力于形成流程化、全围手术期的评估及干预路径。然而,目前对于术后谵妄围麻醉期干预的研究较少,且争论较多,各指南及专家共识在这一部分也是空白,需要进一步研究以弥补空白。该文通过探讨目前术后谵妄的围麻醉期预防策略,以期指引未来的研究,进一步完善围麻醉期术后谵妄干预策略,从而降低其发生。
Postoperative delirium(POD)is a serious postoperative complication,which is significantly correlated with poor prognosis such as prolonged hospital stay and increased rate of readmission.POD is the result of multiple factors,and intervention targeting at its risk factors can significantly reduce the incidence of POD.At present,POD prevention tends to be multidisciplinary and cluster-oriented,aiming at forming a process-oriented,whole-perioperative assessment and intervention path.However,at present,there are few studies on POD peri-anesthetic period intervention,and there are many controversies.All guidelines and expert consensus are also blank in this part,and further studies are needed to fill the gaps.This paper discusses the current prevention strategies for POD during peri-anesthetic period,guiding future studies and further improving the intervention strategies for POD during peri-anesthetic period,so as to reduce the occurrence of POD.
作者
王蕊
唐艺丹
杨静
WANG Rui;TANG Yidan;YANG Jing(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2021年第10期1450-1455,共6页
West China Medical Journal
基金
国家自然科学基金(81772130)
国家老年疾病临床医学研究中心项目(Z2018A04)。
关键词
术后谵妄
预防
围麻醉期
Postoperative delirium
Prevention
Peri-anesthetic period
