全身麻醉患儿术后谵妄危险因素的Meta分析

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Risk factors for postoperative delirium in children with general anesthesia：a Meta-analysis LU Ruining1²，CHENG Jing1.，2*

1.Tongji Hospital，Tongji MedicalCollgeofHUST，Hubei 430030China;2.SchoolofNursing，Tongji Medical College of HUST

*Corresponding Author CHENGJing，E-mail：chengjingtj@163.com

AbstractObjective：Tosystematicallevauatetheriskfactorsforpostoperativedeliruminchildrenwithgeneralanesthesiaandto provideareferenceforthepreventionandcontrolofpostoperativedeliriuminhospitalizedchildren.Methods：Relevantliteraturewas retrievedfromCNKI，WanFangDatabase，VIP，CBM，PubMed，WebofSience，theCochraneLibrary，andEMbasefromthe establishmentoftedatabasetoay3l，O4.woesearhersindependentlysreeedtheliteratureextracteddataandevaatedte quaityf theliterature.TheRevMan5.4software wasusedforanalysis.Results：Atotalof15articles wereicluded，nvolving483 patients，of which1O57childrenhadpostoperativedelirium.TheMeta-analysisresultsshowedthatage，developmental delay， preoperativeanxiety，ostoperativepain，mechanicalventlation，anddwelingcatheters wereriskfactorsforposoperatiedlumin childrenwithgeneralanesthesia.Conclusions：Existingevidenceshowesthatage，developmentaldelay，preoperativeanxiety， postoperativepain，echanicalventilation，ndidwelingathetersereriskfctorsforpostoperativedeliumincdenwitheal anesthesia.Nursesshouldconductearlyscreeninganddynamicevaluationofchildrenandtaketargetedandindividualizedintervention measures to prevent the occurrence of postoperative delirium.

Keywordschildren;general anesthesia;postoperativedelirium; riskfactors;Meta-analysis; evidence-based nursing

摘要目的：系统评价全身麻醉患儿术后谵妄的危险因素，为住院患儿术后谵妄的预防和控制提供参考依据。（剩余11422字）