术后谵妄。
Postoperative delirium.
机构信息
Division of Cardiothoracic Anesthesiology, Washington University School of Medicine, Saint Louis, MO 63110, USA.
出版信息
Minerva Anestesiol. 2011 Apr;77(4):448-56.
Abstract
Delirium is a common complication during the postoperative period. Because of its significant associations with physical and cognitive morbidity, clinicians should be aware of the evidence-based practices relating to its diagnosis, treatment, and prevention. Here, we review select recent literature pertaining to the epidemiology and impact of postoperative delirium, the perioperative risk factors for its development and/or exacerbation, and the strategies for its management, with additional attention paid to the population of patients in intensive care units.
摘要
谵妄是术后期间常见的并发症。由于其与身体和认知发病率有显著关联，临床医生应该了解与诊断、治疗和预防相关的循证实践。在这里，我们回顾了与术后谵妄的流行病学和影响、其发展和/或恶化的围手术期危险因素以及管理策略相关的一些最新文献，特别关注重症监护病房的患者群体。
相似文献
1
Postoperative delirium.术后谵妄。
Minerva Anestesiol. 2011 Apr;77(4):448-56.
2
Prevention and management of postoperative delirium.术后谵妄的预防与管理。
Int Anesthesiol Clin. 2009 Fall;47(4):137-49. doi: 10.1097/AIA.0b013e3181b47ea8.
3
An update on delirium in the postoperative setting: prevention, diagnosis and management.术后谵妄的最新进展：预防、诊断和管理。
Best Pract Res Clin Anaesthesiol. 2012 Sep;26(3):327-43. doi: 10.1016/j.bpa.2012.08.003.
4
Prevention, diagnosis, and management of postoperative delirium in older adults.老年人术后谵妄的预防、诊断与管理
J Am Coll Surg. 2009 Aug;209(2):261-8; quiz 294. doi: 10.1016/j.jamcollsurg.2009.03.008. Epub 2009 May 1.
5
Postoperative delirium: risk factors, diagnosis and perioperative care.术后谵妄：危险因素、诊断和围手术期护理。
Minerva Anestesiol. 2013 Sep;79(9):1066-76. Epub 2013 Mar 19.
6
Anticipating and managing postoperative delirium and cognitive decline in adults.成人术后谵妄和认知功能减退的预测与管理
BMJ. 2011 Jul 20;343:d4331. doi: 10.1136/bmj.d4331.
7
Postoperative delirium.术后谵妄。
Korean J Anesthesiol. 2019 Feb;72(1):4-12. doi: 10.4097/kja.d.18.00073.1. Epub 2018 Aug 24.
8
Postoperative delirium and cognitive dysfunction.术后谵妄和认知功能障碍。
Br J Anaesth. 2009 Dec;103 Suppl 1(Suppl 1):i41-46. doi: 10.1093/bja/aep291.
9
Postoperative delirium and postoperative cognitive dysfunction in the elderly - what are the differences?老年人术后谵妄与术后认知功能障碍——它们有何不同？
Minerva Anestesiol. 2011 Jul;77(7):742-9.
10
Prevention and treatment options for postoperative delirium in the elderly.老年术后谵妄的预防和治疗选择。
Curr Opin Psychiatry. 2012 Nov;25(6):515-21. doi: 10.1097/YCO.0b013e328357f51c.
引用本文的文献
1
Glycated Hemoglobin as a Predictor of Postoperative Delirium in Diabetic Patients Undergoing Noncardiac Surgery: A Retrospective Study.糖化血红蛋白作为非心脏手术糖尿病患者术后谵妄的预测指标：一项回顾性研究
Medicina (Kaunas). 2025 Aug 16;61(8):1474. doi: 10.3390/medicina61081474.
2
Predicting Postoperative Delirium in Older Patients Before Elective Surgery: Multicenter Retrospective Cohort Study.择期手术前老年患者术后谵妄的预测：多中心回顾性队列研究
JMIR Aging. 2025 Aug 19;8:e67958. doi: 10.2196/67958.
3
Analyzing Key Predictors of Postoperative Delirium Following Coronary Artery Bypass Grafting and Aortic Valve Replacement: A Machine Learning Perspective.从机器学习角度分析冠状动脉搭桥术和主动脉瓣置换术后谵妄的关键预测因素
Medicina (Kaunas). 2025 May 13;61(5):883. doi: 10.3390/medicina61050883.
4
Long-term mortality impact of postoperative hyperactive delirium in older hip fracture surgery patients.老年髋部骨折手术患者术后谵妄活跃对长期死亡率的影响
BMC Geriatr. 2025 Mar 15;25(1):180. doi: 10.1186/s12877-025-05817-9.
5
Incidence and risk factors of postoperative delirium in elderly surgical patients 2023.2023年老年外科手术患者术后谵妄的发病率及危险因素
Sci Rep. 2025 Jan 9;15(1):1400. doi: 10.1038/s41598-024-84554-2.
6
Risk Factors and Pain Management in the Incidence of Postoperative Delirium in Elderly Patients: A Retrospective Study.老年患者术后谵妄发生率的危险因素及疼痛管理：一项回顾性研究
J Clin Med. 2024 Dec 14;13(24):7624. doi: 10.3390/jcm13247624.
7
The Association Between Delirium Upon Admission to a Rehabilitation Hospital and Motor Rehabilitation Outcomes Among Hip Fracture Surgery Patients: A Historical Cohort Study.康复医院入院时谵妄与髋部骨折手术患者运动康复结局之间的关联：一项历史性队列研究
J Clin Med. 2024 Dec 4;13(23):7394. doi: 10.3390/jcm13237394.
8
Postoperative Altered Mental Status: A Case Report and Diagnostic Dilemma.术后精神状态改变：一例病例报告及诊断困境
Cureus. 2024 Sep 1;16(9):e68368. doi: 10.7759/cureus.68368. eCollection 2024 Sep.
9
Development and Validation of Machine Learning Models to Predict Postoperative Delirium Using Clinical Features and Polysomnography Variables.利用临床特征和多导睡眠图变量预测术后谵妄的机器学习模型的开发与验证
J Clin Med. 2024 Sep 16;13(18):5485. doi: 10.3390/jcm13185485.
10
Delirium management in perioperative geriatric services: a narrative review of non-pharmaceutical strategies.围手术期老年服务中的谵妄管理：非药物策略的叙述性综述
Front Psychiatry. 2024 Jun 17;15:1394583. doi: 10.3389/fpsyt.2024.1394583. eCollection 2024.
本文引用的文献
1
Delirium duration and mortality in lightly sedated, mechanically ventilated intensive care patients.轻度镇静机械通气重症监护患者的谵妄持续时间与死亡率。
Crit Care Med. 2010 Dec;38(12):2311-8. doi: 10.1097/CCM.0b013e3181f85759.
2
Does this patient have delirium?: value of bedside instruments.这个患者是否出现了意识混乱？：床边仪器的价值。
JAMA. 2010 Aug 18;304(7):779-86. doi: 10.1001/jama.2010.1182.
3
Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis.老年患者谵妄与出院后死亡率、住院化和痴呆的风险：一项荟萃分析。
JAMA. 2010 Jul 28;304(4):443-51. doi: 10.1001/jama.2010.1013.
4
Emergence agitation in adults: risk factors in 2,000 patients.成人术后躁动：2000 例患者的危险因素。
Can J Anaesth. 2010 Sep;57(9):843-8. doi: 10.1007/s12630-010-9338-9. Epub 2010 Jun 5.
5
[Methods and madness: agitation, delirium, and postoperative cognitive dysfunction].[方法与疯狂：激越、谵妄与术后认知功能障碍]
Can J Anaesth. 2010 Sep;57(9):799-803. doi: 10.1007/s12630-010-9339-8.
6
Study of rivastigmine for delirium in intensive care is stopped after deaths.
BMJ. 2010 May 28;340:c2895. doi: 10.1136/bmj.c2895.
7
Risk factors for inadequate emergence after anesthesia: emergence delirium and hypoactive emergence.麻醉后苏醒不充分的危险因素：苏醒谵妄和低反应性苏醒。
Minerva Anestesiol. 2010 Jun;76(6):394-403.
8
Use of dexmedetomidine as a sedative and analgesic agent in critically ill adult patients: a meta-analysis.使用右美托咪定作为危重症成年患者的镇静和镇痛剂：一项荟萃分析。
Intensive Care Med. 2010 Jun;36(6):926-39. doi: 10.1007/s00134-010-1877-6. Epub 2010 Apr 8.
9
Rivastigmine in the treatment of delirium in older people: a pilot study.重酒石酸卡巴拉汀治疗老年人谵妄：一项初步研究。
Int Psychogeriatr. 2010 Aug;22(5):812-8. doi: 10.1017/S1041610209991359. Epub 2010 Mar 31.
10
Delirium: an independent predictor of functional decline after cardiac surgery.谵妄：心脏手术后功能下降的独立预测因子。
J Am Geriatr Soc. 2010 Apr;58(4):643-9. doi: 10.1111/j.1532-5415.2010.02762.x. Epub 2010 Mar 22.
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