老年股骨颈骨折行人工股骨头置换术后患者谵妄的危险因素分析

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[中图分类号] R749.72；R687.42 [文献标志码] A

Risk factors for delirium in elderly patients after artificial femoral head replacement for femoral

neck fractureLIN Zhihao，LIU Guoming，HU Yanling（Departmentof Traumatology，The Afliated Hospitalof Qing dao University，Qingdao 266035，China）

[ABSTRACT]ObjectiveTo investigate therisk factorsfordeliriumin elderlypatients afterartificialfemoral head replace mentforfemoralneckfracture.MethodsAtotalof1OOpatientswithfemoralneckfracturewhounderwentartificialfemoral headreplacementinDepartmentofTraumatology，TheAfiliated HospitalofQingdaoUniversity，fromSeptember20l9toMarch 2022 were enroled.Beforesurgery，State-Trait Anxiety Inventorywasused toassessthestatusofanxiety，andaftersurgerythe ConfusionAsessment Methodwasused toassesstheconditionofdelirium.According tothepresenceorabsenceofdeliriumafter surgery，thepatientsweredividedintodeliiumgroupandnn-deliimgroup.Univariateandmutivariatelogisticregresioanaly ses were performedforthe generaldata ofthe patients in both groups.ResultsThe univariate logisticregressionanalysis showedthatage，diabetes，coronary heartdisease，body massindex，ASA score，Visual Analogue Scale score，and preoperative anxiety were significantly associated with the onset of postoperative delirium （POD） in eldevly patients （ P<0.05） . The multivariate logistic regression analysis showed that age （OR=1.194，95%CI=1.067-1.330，P<0.0% ），ASA score （ OR=3.618 （20号 95%CI=1.075-12.177，P<0.05） ，and preoperative anxiety （OR=5.517，95%CI=1.098-27.710，P<0.05） were independent riskfactors for postoperativedeliriumin elderly patientswithfemoral neck fracture.ConclusionAge，ASA score，and preope rativeanxietyareindependentriskfactorsforthedevelopmentof（POD）inelderlypatientswithfemoralneckfracture.Theassesmentand interventionof theseriskfactors，especiallythescreeningandmanagementof preoperativeanxiety，shouldbetakense riously in clinical practice to reduce the incidence rate of （POD）and improve the prognosis of patients.

[KEY WORDs]Anxiety；Femoral neck fractures；Delirium；Preoperative period；Postoperative period；Arthroplasty，re placement，hip；Risk factors；Aged

目前，我国人群呈现老龄化趋势，老年人股骨颈骨折的发病率逐年升高，其中人工股骨头置换术因其手术操作相对简单、恢复期短、疗效显著，成为股骨颈骨折的老年患者（尤其是合并严重骨质疏松者）常用的治疗方案[]。（剩余6864字）