摘要
目的探讨高血压脑出血术后谵妄发生情况和影响因素。方法采用自编问卷收集我院神经外科2011年3月至2013年3月收治的208例高血压脑出血患者的临床资料,利用SPSS19.0统计软件对收集到的数据进行描述性分析和二分类Logistic回归分析以找出高血压脑出血术后谵妄发生情况和影响因素。结果血压脑出血术后谵妄发生率为22.60%。单因素Logistic回归分析示高龄、GCS评分高、急性生理学及慢性健康状况评分(APACHEⅡ)高、术后疼痛程度、术后低氧血症、糖尿病是高血压脑出血术后谵妄发生的危险因素,多因素Logistic回归分析示高龄、术后低氧血症和术后疼痛明显是高血压脑出血术后谵妄发生的独立危险因素。结论高血压脑出血谵妄发生率较高,其发生受多方面因素影响。
Objective To investigate the occurrence and influencing factors of delirium in hypertensive intra- cerebral hemorrhage patients after operation. Methods The data of 208 hypertensive intracerebral hemorrhage pa- tients who were treated from March 2011 to March 2013 were collected by self-made questionnaire. They were ana- lyzed by the SPSSI9.0 for descriptive analysis and binary classification logistic regression analysis to find out the occurrence and influencing factors of delirium in hypertensive intracerebral hemorrhage patients after operation. Results The occurrence ofdeliriurn in hypertensive intracerebral hemorrhage patients was 22.60%. Single factor Lo- gistic regression analysis showed that older age, high GCS score, high the acute physiology and chronic health evalua- tion （APACHE II ）, the degree of postoperative pain, postoperative hypoxemia, diabetes were risk factors for hyperten- sion cerebral hemorrhage postoperative delirium occurrence. Multiariable Logistic regression analysis showed that venerable age, postoperative hypoxemia and postoperative pain were risk factors for delirium recurrence of hyperten- sive intracerebral hemorrhage patients. Conclusion The recurrence of delirium in hypertensive intracerebral hemor- rhage patients is high, with various influencing factors.
出处
《海南医学》
CAS
2013年第23期3462-3464,共3页
Hainan Medical Journal
关键词
高血压脑出血
谵妄
影响因素
Hypertensive intracerebral hemorrhage
Delirium
Influencing factors
