老年股骨頸骨折行人工股骨頭置換術(shù)后患者譫妄的危險因素分析

打開文本圖片集

[中圖分類號] R749.72；R687.42 [文獻(xiàn)標(biāo)志碼] A

Risk factors for delirium in elderly patients after artificial femoral head replacement for femoral

neck fractureLIN Zhihao，LIU Guoming，HU Yanling（Departmentof Traumatology，The Afliated Hospitalof Qing dao University，Qingdao 266035，China）

[ABSTRACT]ObjectiveTo investigate therisk factorsfordeliriumin elderlypatients afterartificialfemoral head replace mentforfemoralneckfracture.MethodsAtotalof1OOpatientswithfemoralneckfracturewhounderwentartificialfemoral headreplacementinDepartmentofTraumatology，TheAfiliated HospitalofQingdaoUniversity，fromSeptember20l9toMarch 2022 were enroled.Beforesurgery，State-Trait Anxiety Inventorywasused toassessthestatusofanxiety，andaftersurgerythe ConfusionAsessment Methodwasused toassesstheconditionofdelirium.According tothepresenceorabsenceofdeliriumafter surgery，thepatientsweredividedintodeliiumgroupandnn-deliimgroup.Univariateandmutivariatelogisticregresioanaly ses were performedforthe generaldata ofthe patients in both groups.ResultsThe univariate logisticregressionanalysis showedthatage，diabetes，coronary heartdisease，body massindex，ASA score，Visual Analogue Scale score，and preoperative anxiety were significantly associated with the onset of postoperative delirium （POD） in eldevly patients （ P<0.05） . The multivariate logistic regression analysis showed that age （OR=1.194，95%CI=1.067-1.330，P<0.0% ），ASA score （ OR=3.618 （20號 95%CI=1.075-12.177，P<0.05） ，and preoperative anxiety （OR=5.517，95%CI=1.098-27.710，P<0.05） were independent riskfactors for postoperativedeliriumin elderly patientswithfemoral neck fracture.ConclusionAge，ASA score，and preope rativeanxietyareindependentriskfactorsforthedevelopmentof（POD）inelderlypatientswithfemoralneckfracture.Theassesmentand interventionof theseriskfactors，especiallythescreeningandmanagementof preoperativeanxiety，shouldbetakense riously in clinical practice to reduce the incidence rate of （POD）and improve the prognosis of patients.

[KEY WORDs]Anxiety；Femoral neck fractures；Delirium；Preoperative period；Postoperative period；Arthroplasty，re placement，hip；Risk factors；Aged

目前，我國人群呈現(xiàn)老齡化趨勢，老年人股骨頸骨折的發(fā)病率逐年升高，其中人工股骨頭置換術(shù)因其手術(shù)操作相對簡單、恢復(fù)期短、療效顯著，成為股骨頸骨折的老年患者（尤其是合并嚴(yán)重骨質(zhì)疏松者）常用的治療方案[]。（剩余6864字）