酒精戒断性谵妄发生的相关因素

Nguyen Huu Chien, Le Thi Thuy An, Nguyen Viet Chung
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引用次数: 0

摘要

摘要:本研究旨在探讨预测酒精戒断性谵妄发生的相关因素;将E医院56例患者按ICD-10标准分为两组,第一组28例诊断为酒精使用所致精神和行为障碍,戒断状态伴谵妄(F10.4),第二组28例诊断为酒精使用所致精神和行为障碍,戒断状态(F10.3);方法:横断面研究;结果:临床表现为出汗和癫痫发作;实验室检测GGT、总胆红素、直接胆红素、血小板均为酒精戒断性谵妄的相关因素。直接胆红素水平大于13 μmol/L是最强的相关因素,OR(95%CI)为6(1.648 ~ 21.840)。这些关于酒精依赖的危险因素可以很容易地在临床环境中进行评估,以便医生识别有发生酒精戒断性谵妄风险的患者,并为他们制定强化治疗计划。关键词:酒精戒断性谵妄,危险因素,临床特征,实验室检测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associated Factors for the Development of Alcohol Withdrawal Delirium
Abstract: This study was conducted to evaluate some associated factors predicting the development of alcohol withdrawal delirium; 56 patients in E hospital were divided into two groups including group 1 of 28 patients diagnosing mental and behavioral disorders due to use of alcohol, withdrawal state with delirium (F10.4) and group 2 of 28 patients diagnosing mental and behavioral disorders due to use of alcohol, withdrawal state (F10.3) according to ICD-10 criteria; Method: cross-sectional study; Result showed that clinical features are sweating and seizure; laboratory tests are GGT, total bilirubin, direct bilirubin, platelet emerged as associated factors of alcohol withdrawal delirium. The level of direct bilirubin over 13 μmol/L is the strongest associated factor with OR(95%CI) 6(1.648-21.840). These risk factors about alcohol dependence featured can be easily evaluated in a clinical setting for physicians to identify patients at risk for developing alcohol withdrawal delirium to make intensive therapy plans for them. Keywords: Alcohol withdrawal delirium, risk factor, clinical feature, laboratory test.
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