头颈重建术后谵妄的研究现状

doi:10.19438/j.cjoms.2020.04.017

摘要/Abstract

摘要： 术后谵妄（postoperative delirium,POD）是一种急性脑功能障碍,在头颈重建（head and neck reconstruction,HNR）术后患者中时有发生。早期发现和及时干预,能够改善患者的术后生活质量,否则将会影响术后恢复,增加患者长期认知障碍的风险,延长住院时间,加重医疗负担。术后谵妄作为一种精神科疾病,容易与其他精神类疾病混淆,给头颈外科医护人员诊断带来困难。本文就谵妄的定义、诊断、术后影响、预防及治疗进行综述,为头颈外科医护人员早期诊治谵妄提供帮助。

关键词: 术后谵妄, 头颈部重建, 术后并发症, 认知障碍

Abstract: Postoperative delirium (POD) is an disordered brain function. It happens occasionally in patients after head and neck reconstruction(HNR). If discovered and treated in time, the prognosis of patients will be greatly improved, otherwise it is likely to be transformed into long-term cognitive impairment , extended hospital stay and increased medical expenses. For most medical staff of head and neck surgery, the definition, diagnosis, and management of postoperative delirium need to be strengthened. This article reviewed the definition, diagnosis, influence, prevention and treatment of delirium, which will help head and neck surgeons to diagnose and treat delirium early.

Key words: Postoperative delirium, Head and neck reconstruction, Postoperative complications, Cognitive impairment

中图分类号:

R782.2

李晓东, 张凌, 孟箭, 叶为民. 头颈重建术后谵妄的研究现状[J]. 中国口腔颌面外科杂志, 2020, 18(4): 369-374.

LI Xiao-dong, ZHANG Ling, MENG Jian, YE Wei-min. Research advances in postoperative delirium after head and neck reconstruction[J]. China J Oral Maxillofac Surg, 2020, 18(4): 369-374.

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