急性脑卒中患者伴发谵妄的相关因素分析

摘要

目的 探讨急性脑卒中患者发生谵妄的相关危险因素.方法 收集375例脑卒中患者的临床资料,包括年龄、肺部感染、高血压、发热、出血量大小、梗死面积、肝肾功能损伤等指标,评估患者有无谵妄发生.收集到的数据进行描述性分析和二分类回归分析以找出脑卒患者澹妄发生情况和影响因素.结果 全部急性脑卒中患者发生谵妄共77名(20.5％).脑出血患者多因素回归分析示低龄、肺部感染、发热、大量出血均为谵妄发生的高危因素.急性脑梗死多因素回归分析示高龄、发热、大面积梗死均为谵妄发生的高危因素.结论 急性脑卒中患者较易发生谵妄.肺部感染、发热、年龄、出血量或梗死面积是谵妄发生的高危因素.%Objective To explore the risk factors of delirium in patients with acute stroke.Methods A total of 375 patients suffered from acute stroke with delirium were included.The general and clinical data including age,pulmonary infection,fever,volume of bleed or infart size,Liver and kidney function damage were collected.The risk factors of the patients with delirium were analyzed.Results A total of 77 patients suffered from delirium who accounted for 20.5％ of all patients.In multiple regression models,pulmonary infection,fever,older age,large infart size were the risk factors of delirium in acute cerebral ischemic patients,pulmonary infection,fever,younger age,large amount cerebral hemorrhage were the risk factors of delirium in acute Cerebral hemorrhage patients.Conclusion The acute stroke patients are apt to induce delirium.The age,pulmonary infection,fever,volume of bleed or infart size are the risk factors of delirium.