全身麻醉患兒術(shù)后譫妄危險(xiǎn)因素的Meta分析

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Risk factors for postoperative delirium in children with general anesthesia:a Meta-analysis LU Ruining12,CHENG Jing1.,2*
1.Tongji Hospital,Tongji MedicalCollgeofHUST,Hubei 430030China;2.SchoolofNursing,Tongji Medical College of HUST
*Corresponding Author CHENGJing,E-mail:chengjingtj@163.com
AbstractObjective:Tosystematicallevauatetheriskfactorsforpostoperativedeliruminchildrenwithgeneralanesthesiaandto provideareferenceforthepreventionandcontrolofpostoperativedeliriuminhospitalizedchildren.Methods:Relevantliteraturewas retrievedfromCNKI,WanFangDatabase,VIP,CBM,PubMed,WebofSience,theCochraneLibrary,andEMbasefromthe establishmentoftedatabasetoay3l,O4.woesearhersindependentlysreeedtheliteratureextracteddataandevaatedte quaityf theliterature.TheRevMan5.4software wasusedforanalysis.Results:Atotalof15articles wereicluded,nvolving483 patients,of which1O57childrenhadpostoperativedelirium.TheMeta-analysisresultsshowedthatage,developmental delay, preoperativeanxiety,ostoperativepain,mechanicalventlation,anddwelingcatheters wereriskfactorsforposoperatiedlumin childrenwithgeneralanesthesia.Conclusions:Existingevidenceshowesthatage,developmentaldelay,preoperativeanxiety, postoperativepain,echanicalventilation,ndidwelingathetersereriskfctorsforpostoperativedeliumincdenwitheal anesthesia.Nursesshouldconductearlyscreeninganddynamicevaluationofchildrenandtaketargetedandindividualizedintervention measures to prevent the occurrence of postoperative delirium.
Keywordschildren;general anesthesia;postoperativedelirium; riskfactors;Meta-analysis; evidence-based nursing
摘要目的:系統(tǒng)評(píng)價(jià)全身麻醉患兒術(shù)后譫妄的危險(xiǎn)因素,為住院患兒術(shù)后譫妄的預(yù)防和控制提供參考依據(jù)。(剩余11422字)