期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

术后谵妄的研究进展 被引量：34

在线阅读 下载PDF
导出
摘要 术后谵妄是一种急性的精神紊乱状态，伴有明显的认知、注意、睡眠觉醒周期的损害，好发于老年患者，尤其是危重病患者。术后谵妄增加患者术后的发病率与病死率，延长住院时间，增加治疗费用，给患者及其家属带来严重的影响。目前对术后谵妄发生的机制及病理生理尚不清楚，也缺乏有效的预防及治疗措施。1 谵妄的定义、分类及流行病学研究2000年前希波克拉底将谵妄定义为急性的精神混乱状态，明显的认知与注意的全面损害。
作者 蓝海珍 于布为
机构地区 上海交通大学医学院附属瑞金医院麻醉科
出处 《上海医学》 CAS CSCD 北大核心 2013年第2期161-164,共4页 Shanghai Medical Journal
关键词 术后谵妄 睡眠觉醒周期 老年患者 精神紊乱 治疗费用 混乱状态 危重病患者 希波克拉底
分类号 R614 [医药卫生—麻醉学]
  • 相关文献

参考文献41

  • 1BURNS A, GALLAGLEY A, BYRNE J. Delirium[J]. J Neurol Neurosurg Psychiatry, 2004, 75(3):362-367.
  • 2MICHAUD L, BULA C, BERNEY A, et al. Delirium: guidelines for general hospitals[J]. J Psychosom Res, 2007, 62(3): 371-383.
  • 3BRYSON G L. Methods and madness., agitation, delirium, and postoperative cognitivedysfunction[J]. Can J Anaesth, 2010, 57(9): 799-803.
  • 4RADTKE F M, FRANCK M, HAGEMANN L, et al. Risk factors for inadequate emergence after anesthesia: emergence delirium and hypoactive emergence[J]. Minerva Anestesiol, 2010, 76(6): 394-403.
  • 5YU D, CHAI W, SUN X, et al. Emergence agitation in adults: risk factors in 2 000 patients[J]. Can J Anaesth, 2010, 57(9) : 843-848.
  • 6MALDONADO J R. Delirium in the acute care setting: characteristics, diagnosis and treatment[J]. Crit Care Clin, 2008, 24(4) : 657-722.
  • 7LAT I, MCMILLIAN W, TAYLOR S, et al. The impact of delirium on clinical outcomes in mechanically ventilated surgical and trauma patients[J]. Crit Care Med, 2009, 37 (6): 1898-1905.
  • 8GONZALEZ M, MARTINEZ G, CALDERON J, et al. Impact of delirium on short-term mortality in elderly inpatients., a prospective cohort study[J]. Psychosomatics, 2009, 50(3): 234-238.
  • 9WITLOX J, EURELINGS L S, DE JONGHE J F, et al. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta- analysis[J]. JAMA, 2010, 304(4): 443-451.
  • 10KHADKA J, MCALINDEN C, PESUDOVS K. Cognitive trajectories after postoperative delirium[J]. N Engl J Med, 2012, 367(12): 1164-1165.

二级参考文献18

  • 1曹建国,洪涛,闻大翔,皋源,万燕杰,刁枢,李立志,杭燕南,孙大金.老年患者术后精神和认知障碍的发病率及相关因素分析[J].上海医学,2005,28(11):939-941. 被引量：91
  • 2Vaurio L E, Sands L P, Wang Y, et al. Postoperative delirium: the importance of pain and pain management. Anesth Analg, 2006, 102:1267-1273.
  • 3Gabor J Y, Cooper A B, Crombach S A, et al. Contribution of the intensive care unit environment to sleep disruption inmechanically ventilated patients and healthy subjects. Am J Respir Crit Care Med, 2003, 167: 708-715.
  • 4de Jonghe J F, Kalisvaart K J, Diikstra M, et al. Early symptoms in the prodromal phase of delirium: a prospective cohort study in elderly patients undergoing hip surgery. Am J Geriatr Psychiatry, 2007, 15: 112-121.
  • 5Bohner H, Hummel T C, Habel U, et al. Predicting delirium after vascular surgery: a model based on preand intraoperative data. Ann Surg, 2003, 238: 149-156.
  • 6Ushida T, Yokoyama T, Kishida Y, et al. Incidence and risk factors of postoperative delirium in cervical spine surgery. Spine (Phila Pa 1976), 2009, 34:2500-2504.
  • 7Juliebo V, Bjoro K, Krogseth M, et al. Risk factors for preoperative and postoperative delirium in elderly patientswith hip fracture. J AmGeriatr Soe, 2009, 57: 1354-1361.
  • 8Dasgupta M, Dumbrell A C. Preoperative risk assessment for delirium after noncardiae surgery: a systematic review. J Am Geriatr Soc, 2006, 54:1578-1589.
  • 9Kalisvaart K J, Vreeswijk R, de Jonghe J F, et al. Risk factors and prediction of postoperative delirium in elderly hip surgery patients: implementation and validation of a medical risk factor model. J An: Geriatr Soc, 2006, 54: 817-822.
  • 10Bo M, Martini B, Ruatta C, et al. Geriatric ward hospitalization reduced incidence delirium among older medical inpatients. AmJ Geriatr Psychiatry, 2009, 17: 760-768.

共引文献5

同被引文献295

引证文献34

二级引证文献267

上海医学
2013年 第2期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部