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ICU谵妄非药物性预防的研究现状

吕丹 田丽   

  1. 天津医科大学第三中心临床学院
  • 出版日期:2015-03-25 发布日期:2015-03-25

Research progress on nonpharmacological interventions for the prevention of delirium in Intensive Care Unit

  • Online:2015-03-25 Published:2015-03-25

摘要: 谵妄是一种急性的、波动性的精神状态改变,伴有注意力涣散及思维紊乱或意识水平的变化。危重症患者由于受心理、环境、疾病、药物等多因素影响易诱发谵妄,发生率高。谵妄一旦发生,对患者预后及后期认知功能造成严重的不良后果。因此,有效预防谵妄,降低其负面影响至关重要。本文以综述的形式详细阐述了ICU 谵妄非药物性预防的国内外研究现状,旨在为科学、有效地预防ICU 谵妄提供参考和依据。

Abstract: Delirium is an acute, fluctuant change in mental status with inattention, disorganized thinking or an altered level of consciousness. Critically ill patients are in great risk of delirium because of the impact of psychological, environment, illness,and medications. Delirium could result in bad prognosis and clinical consequences of cognitive function in late stage. Thus, we should prevent delirium effectively and reduce its harmful effects. This paper reviewed the development of nonpharmacological interventions for the prevention of delirium in Intensive Care Unit both in China and abroad, in order to provide scientific and effective references for clinical practice.