摘要
目的了解慢性鼻-鼻窦炎、鼻息肉内镜手术后患者认知功能障碍(POCD)发生的影响因素及提出相应的护理对策。方法选择13例鼻内镜手术术后发生POCD的患者作为病例组,按照1∶3巢式病例对照研究成组设计的原则,完全随机抽取了39名相同期间内未发生POCD的鼻内镜手术患者,作为对照组。对各影响因素进行Logistic回归分析。结果病例组和对照组的年龄之间差异有统计学意义,病例组年龄(63.5±12.5)岁高于对照组(40.8±7.7)岁,P<0.01。多因素分析表明,除年龄外,动脉硬化危险因素数目和术中采用控制降压与POCD关系密切,OR值分别为:1.823(95%CI:1.024-3.247)和1.052(95%CI:0.902-1.189)。结论高龄、动脉硬化危险因素数目和术中采用控制性降压与POCD发生密切相关,对此类患者应预防POCD的发生和采取相应护理措施。
Objective To investigate influential factors of postoperative cognitive dysfunction （POCD） and provide nursing measures. Methods An 1：3 nested case-control study was carried out,13 cases were reeuited from cohort study ,and every case was matched with three controls. Univariate analysis and multivariate non-conditional logistic regression were used to analyse the relationship between the exposure factors and POCD. Results The mean age of case group was significantly older than that of the control group. Other than age,the final regression model showed that the number of arteriosclerosis risk factors and controlling hypertension during operation were significantly associated with POCD （0R=1.823,95% CI：1.024-3.247 and 1.052,95% Cl：0.902-1.189,respectively）. Conclusions Age,the number of arteriosclerosis risk factors and controlling hypertension during operation were closely associated with POCD in patients after endonasal endoscopic surgery.
出处
《中华护理杂志》
CSCD
北大核心
2009年第3期251-253,共3页
Chinese Journal of Nursing
关键词
内窥镜检查
手术后并发症
认知障碍
回顾性研究
Endoscopy
Postoperative Complications
Cognition Disorders
Retrospective Studies
