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《Chinese General Practice》 2006-09
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Analysis on the Risk Factors of Postoperative Delirium in Elderly Patients

ZHANG Yong-le,DOU Dong-mei,ZHANG Shi-qing,et al.Department of Orthopaedics,the Huaihe Hospital of Henan University,Kaifeng 475000,China  
Objective To investigate the risk factors of postoperative delirium in elderly patients.Methods For 169 cases of elderly postoperative patients in our hospital,the clinical parameters including age,sex,hypoxemia,postoperative pain,sleeping decrease were investigated as predictive risk factors,the data was dealt with χ~2 test or single factor analysis or multivariate Logistic regression analysis.Results Postoperative delirium occurred in 20 cases(11.8%) of 169 elderly patients.Univariate analysis demonstrated that many factors were significantly correlated with the postoperative delirium in elderly patients, such as advanced age(≥70),hypoxemia,postoperative pain and sleeping decrease(P0.01).The multivariate Logistic regression analysis showed that advanced age(≥70),hypoxemia,postoperative pain were the impotent for onset of delirium.Conclusion Prevention of peri-operative hypoxemia,postoperative analgesia and improvement of sleeping are of active significance for control postoperative delirium.
【CateGory Index】: R473.6
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