Cheng Qinghao, Li Lei, Yang Mingyuan, Sun Lei, Li Renjiao, Huang Rui, Ma Jun
Department of Anesthesiology, Emergency General Hospital.
Department of Obstetrics and Gynecology, Emergency General Hospital.
Medicine (Baltimore). 2019 May;98(22):e15906. doi: 10.1097/MD.0000000000015906.
This study aimed to investigate the risk factors and whether acute hypercapnia contributes to postoperative delirium (POD) during bronchoscopic intervention under general anesthesia or deep sedation.A prospective study was conducted with 119 consecutive patients who had undergone bronchoscopic intervention between February 2016 and December 2016 at the Emergency General Hospital.Twenty-eight patients (23.8%) were diagnosed with POD. The patients were divided into 2 groups: the POD (n = 28) and the control group (n = 91). The mean age of the POD group was higher than that of the control group (P < .01). All the blood gas values, PaCO2 (P < .01), PaO2 (P < .01), and PH (P < .01), were significantly different. Multivariate analyses revealed that age (P < .01), operation duration (P = .01), and PO2 (P = .01) were independent predictive factors of POD, while hypercapnia (P = .54) was established as not being a predictive factor of POD.Age, operation duration, and PO2 were determined as independent predictive factors of POD, whereas moderate hypercapnia is not likely to contribute to POD in patients undergoing bronchoscopic intervention. Clinical Trial Registration Identifier: ChiCTR-POC-15007483.
本研究旨在调查全身麻醉或深度镇静下支气管镜介入期间的危险因素以及急性高碳酸血症是否会导致术后谵妄(POD)。在急诊总医院对2016年2月至2016年12月期间连续接受支气管镜介入的119例患者进行了一项前瞻性研究。28例患者(23.8%)被诊断为POD。患者被分为两组:POD组(n = 28)和对照组(n = 91)。POD组的平均年龄高于对照组(P <.01)。所有血气值,PaCO2(P <.01)、PaO2(P <.01)和PH(P <.01),均有显著差异。多因素分析显示,年龄(P <.01)、手术时长(P =.01)和PO2(P =.01)是POD的独立预测因素,而高碳酸血症(P =.54)并非POD的预测因素。年龄、手术时长和PO2被确定为POD的独立预测因素,而中度高碳酸血症不太可能导致接受支气管镜介入的患者发生POD。临床试验注册号:ChiCTR-POC-15007483。