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祝军峰,程素丹,郑王英,李有辉,孙琳琳.多学科多因素综合干预对老年髋部骨折术后谵妄的效果观察[J].浙江中西医结合杂志,2018,28(9):
多学科多因素综合干预对老年髋部骨折术后谵妄的效果观察
Effect of multidisciplinary and multifactorial intervention on postoperative delirium in elderly patients with hip fracture
投稿时间:2017-12-19  修订日期:2018-07-31
DOI:
中文关键词:  多学科多因素  综合干预  老年  髋部骨折  术后谵妄  
英文关键词:multidisciplinary and multifactorial  Comprehensive intervention  Elderly  Hip fracture  Postoperative delirium
基金项目:
作者单位E-mail
祝军峰 衢州市中医医院 zjfzh_dj@sina.com 
程素丹 衢州市中医医院  
郑王英 衢州市中医医院  
李有辉 衢州市中医医院  
孙琳琳 衢州市中医医院  
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中文摘要:
      目的 观察多学科多因素综合干预对老年髋部骨折术后谵妄的临床疗效。方法 选择我院2015年4月~2016年10月符合年龄≥65岁且无严重并发症的髋部骨折手术治疗的124例患者为研究对象,随机分组,分为多学科多因素综合干预组(实验组)和常规治疗组(对照组),分别接受对应治疗,比较两组谵妄的发生率、住院时间、谵妄严重程度及持续时间。结果 实验组术后谵妄总发生率6.4%低于对照组率29.0%,差异有统计学意义(P<0. 05);实验组平均住院时间为(12.14±2.45)d,低于对照组(15.26±2.56)d, 两组比较差异有统计学意义(P<0. 05)。实验组首次DRS评分为(18.32±3.34)分,低于对照组(21.35±4.02)分,两组比较差异有统计学意义(P<0. 05)。实验组谵妄持续平均时间为(2.08±1.20)d,少于对照组(3.46±1.62)d,两组比较差异有统计学意义(P<0. 05)。结论 老年髋部骨折术后谵妄由多因素引起,发生率较高,多学科多因素综合干预可减少术后谵妄的发生率,缩短患者平均住院时间,降低谵妄的严重程度和持续时间。
英文摘要:
      Objective To observe the clinical effect of multidisciplinary and multifactorial intervention on postoperative delirium in elderly patients with hip fracture. Methods 124 patients with hip fracture ≥65 years old and no serious complications who underwent surgical treatment of hip fracture from April 2015 to October 2016 were selected and randomly divided into the multidisciplinary and multifactorial intervention group (Experimental group) and conventional treatment group (control group), respectively accept the corresponding treatment,the incidence of delirium, hospitalization time, severity and duration of delirium were compared between the two groups Results The total incidence of postoperative delirium in the experimental group was 6.4 % lower than that in control group ( 29.0 % ) ,( p < 0.05 ). The average hospitalization time in the experimental group was (12.14 ± 2.45) d, which was lower than the control group (15.26 ± 2.56) d, the difference was statistically significant ( p < 0.05 ). The first DRS score of the experimental group was (18.32 ± 3.34 ), which was lower than that of the control group (21.35 ± 4.02 ). the difference was statistically significant (P <0.05). The average duration of delirium in the experimental group was (2.08 ± 1.20)d, less than that in the control group (3.46 ± 1.62)d, the difference was statistically significant ( p < 0.05 ). Conclusion postoperative delirium in elderly patients with hip fracture is caused by multiple factors, the incidence is high, multidisciplinary and multifactorial intervention can reduce the incidence of postoperative delirium, shorten the average hospitalization time, reduce the severity and duration of delirium.
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