摘要
目的 系统评价消化道术后谵妄的危险因素。方法 计算机检索PubMed、Web of Science、Cochrane Library、Embase、中国知网、万方数据库、维普、中国生物医学文献数据库,检索时间为建库至2021年7月。由2名研究者进行文献筛选、质量评价、数据提取后,使用RevMan 5.4进行Meta分析。结果 共纳入12篇关于消化系统中消化道术后谵妄危险因素的文献,研究结果显示,年龄[OR=1.38,95%CI(1.19~1.60),Z=4.23,P<0.0001]、脑血管病史[OR=2.93,95%CI(1.83~4.69),Z=4.46,P<0.00001]、麻醉风险评分表(ASA)等级高[OR=1.79,95%CI=(1.33~2.41),Z=3.87,P=0.0001]、精神病史[OR=8.22,95%CI(3.94~17.15),Z=5.61,P<0.00001]、输血史[OR=2.53,95%CI(1.52~4.20),Z=3.59,P=0.0003]、手术时间[OR=2.20,95%CI (1.73~2.81),Z=6.36,P <0.00001]、镇静催眠药使用史[OR=2.89,95%CI(1.42~5.86),Z=2.93,P=0.003]以及饮酒史[OR=2.59,95%CI(1.22~5.50),Z=2.47,P=0.01]为消化道术后谵妄的独立危险因素。结论 年龄、脑血管病史、ASA等级高、精神病史、输血史、手术时间、镇静催眠药使用史以及饮酒史8项因素为消化道术后谵妄的独立危险因素。
Objective To systematically evaluate the risk factors of delirium after gastrointestinal surgery.Methods The PubMed, Web of Science, Cochrane Library, Embase, CNKI, Wanfang Database, VIP, and China Biomedical Literature Database were searched by computer from the database establishment to July 2021.After literature screening, quality evaluation and data extraction by two researchers, RevMan 5.4 was used for Meta analysis. Results A total of 12 articles about the risk factors of delirium after digestive tract surgery in the digestive system were included. The results showed that age[OR=1.38, 95%CI(1.19~1.60), Z=4.23, P<0.0001],cerebrovascular disease history[OR=2.93, 95%CI(1.83~4.69), Z=4.46, P<0.00001], high level of anesthesia risk assessment(ASA) [OR=1.79, 95%CI=(1.33~2.41), Z=3.87, P=0.0001], history of psychosis[OR=8.22,95%CI(3.94~17.15), Z=5.61, P<0.00001], history of blood transfusion[OR=2.53, 95%CI(1.52~4.20), Z=3.59,P=0.0003], operation time[OR=2.20, 95%CI(1.73~2.81), Z=6.36, P<0.00001], history of use of sedatives and hypnotics[OR=2.89, 95%CI(1.42~5.86), Z=2.93, P=0.003], and history of drinking alcohol[OR=2.59,95%CI(1.22~5.50), Z=2.47, P=0.01] were the independent risk factors of delirium after digestive tract surgery.Conclusion The age, history of cerebrovascular disease, high ASA level, history of psychosis, history of blood transfusion, operation time, history of using sedatives and hypnotics, and history of drinking alcohol were the independent risk factors for delirium after digestive tract surgery.
作者
陈庆月
王燕
陈秀梅
陈晶
CHEN Qingyue;WANG Yan;CHEN Xiumei;CHEN Jing(Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital,Fuzhou,350014,China)
出处
《护理实践与研究》
2022年第22期3369-3377,共9页
Nursing Practice and Research
基金
福建省卫生健康科研人才培养项目青年科研课题(编号:2019-1-12)。
关键词
消化系统
消化道
谵妄
手术
危险因素
META分析
Digestive system
Digestive tract
Delirium
Surgery
Risk factors
Meta analysis
