老年骨折术后认知障碍危险因素非条件logistic分析.docVIP

老年骨折术后认知障碍危险因素非条件logistic分析 李松军 柯楚群 林英权 何伟东 许知光 梁寒洁 广东省江门市人民医院 摘要 目的 研究老年骨折发生术后认知障碍的危险因素，为的预防和干预提供科学依据。对研究因素2检验和非条件Logistic回归分析非条件Logistic回归分析Logistic回归Noncondition-logistic analysis of risk factors of postoperative cognitive dysfunction for senile fracture patients //LISong-Jun,KeChu-Qun ,LiYinQian ,HeWei-dong,XuZhi-Guang,LiHan-Jie.Department of Orthopaedics, The JIANGMEN CITY PEOPLE＇S HOSPITAL ,GANG DONG, 529000. [Abstract ] objective To study on risk factor of postoperative cognitive dysfunction for senile fracture, and provide scientific evidence for prevention and intervention of postoperative cognitive dysfunction for senile fracture patients. Methods This retrospective study of our hospital included 128 cases of elderly patients after operations in the period from August 2000 to April 2008 . The data was deal with χ2 test or single factor analysis or noncondition-logistic analysis demonstrated. Results noncondition-logistic analysis demonstrated that such as advanced age (≥70), hypoxemia, postoperative pain and concomitants of fracture patients,cardiovascular ,cerebrovascular disease and dialbetes mellitus , operative length time and general anesthesia were the high risk factors of postoperative cognitive dysfunction in elderly (P0·01). Conclusion　To demand particular attention on the patients with advanced age (≥70) and concomitants of cardiovascular disease ,cerebrovascular disease and dialbetes mellitus before operation and Prevention of hypoxemia in the perioperative period, Selection of simple surgery and postoperative good analgesia are active significance for control postoperative cognitive dysfunction . Key words the elderly fracture Cognitive Dysfunction risk factor Logistic Regressi 术后认知障碍(Postoperative Cognitive Dysfunction,POCD)是指手术后出现定向、思维、记忆、注意力、自知力等认知能力的改变，可影响疾病的恢复，延长住院时间，严重时影响病人出院后的生活质量。随着人口老龄化,老年手术病人越来越多, POCD作为老年病人术后一种常见和重要的并发症[1],日益得到了临床的重视。对2000年8月～2008年4月我院骨科发生POCD的老年骨折患者进行回顾性分析,探讨老年骨折患者发生POCD的危险因