术后谵妄的研究进展

被引:30
作者
孙昕
机构
[1] 大连市第三人民医院麻醉科
关键词
谵妄; 手术后并发症;
D O I
暂无
中图分类号
R749.2 [躯体疾病伴发精神障碍];
学科分类号
100204 [神经病学];
摘要
患者术后出现认知功能障碍,最常见的是谵妄(delirium)。本文综述了围术期谵妄发生的危险因素、发病机制、临床表现和诊断以及预防和治疗,认为术后谵妄是在衰老、认知功能受损等易患因素基础上,在围术期多种促发因素作用下产生的认知功能障碍,围术期采用积极措施可以预防和治疗术后谵妄。
引用
收藏
页码:24 / 26
页数:3
相关论文
共 11 条
[1]
亚当斯-维克托神经病学.[M].(美)MauriceVictor;(美)AllanH.Ropper著;郭斌等译;.人民卫生出版社.2002,
[2]
Delirium-O-Meter: a nurses' rating scale for monitoring delirium severity in geriatric patients [J].
de Jonghe, JFM ;
Kalisvaart, KJ ;
Timmers, JFM ;
Kat, MG ;
Jackson, JC .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2005, 20 (12) :1158-1166
[3]
Drugs of anesthesia acting on central cholinergic system may cause post-operative cognitive dysfunction and delirium [J].
Praticò, C ;
Quattrone, D ;
Lucanto, T ;
Amato, A ;
Penna, O ;
Roscitano, C ;
Fodale, V .
MEDICAL HYPOTHESES, 2005, 65 (05) :972-982
[4]
Postoperative confusion increases in elderly long-term benzodiazepine users [J].
Kudoh, A ;
Takase, H ;
Takahira, Y ;
Takazawa, T .
ANESTHESIA AND ANALGESIA, 2004, 99 (06) :1674-1678
[5]
Delirium in elderly hospitalised patients: protective effects of chronic rivastigmine usage [J].
Dautzenberg, PLJ ;
Mulder, LJ ;
Rikkert, MGMO ;
Wouters, CJ ;
Loonen, AJM .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (07) :641-644
[6]
Sensitization associated with stressors and cytokine treatments [J].
Anisman, H ;
Merali, Z ;
Hayley, S .
BRAIN BEHAVIOR AND IMMUNITY, 2003, 17 (02) :86-93
[7]
A novel approach to the prevention of postoperative delirium in the elderly after gastrointestinal surgery [J].
Aizawa, KI ;
Kanai, T ;
Saikawa, Y ;
Takabayashi, T ;
Kawano, Y ;
Miyazawa, N ;
Yamamoto, T .
SURGERY TODAY, 2002, 32 (04) :310-314
[8]
Preoperative risk factors for postoperative delirium [J].
Litaker, D ;
Locala, J ;
Franco, K ;
Bronson, DL ;
Tannous, Z .
GENERAL HOSPITAL PSYCHIATRY, 2001, 23 (02) :84-87
[9]
The association of intraoperative factors with the development of postoperative delirium [J].
Marcantonio, ER ;
Goldman, L ;
Orav, EJ ;
Cook, EF ;
Lee, TE .
AMERICAN JOURNAL OF MEDICINE, 1998, 105 (05) :380-384
[10]
POSTOPERATIVE CONFUSION AFTER ANESTHESIA IN ELDERLY PATIENTS WITH FEMORAL-NECK FRACTURES [J].
BERGGREN, D ;
GUSTAFSON, Y ;
ERIKSSON, B ;
BUCHT, G ;
HANSSON, LI ;
REIZ, S ;
WINBLAD, B .
ANESTHESIA AND ANALGESIA, 1987, 66 (06) :497-504