实用医学杂志2023年第39卷第20期TheJournalofPracticalMedicine2023Vol.39No.20结直肠癌术后谵妄的诊治研究进展张建锋1于滨1张振亚1王贵英21河北医科大学第四医院外二科(石家庄050011);2河北医科大学第二医院普通外科(石家庄050000)【摘要】结直肠癌术后常见的一种并发症为谵妄,其具有较高的发生率,治疗和预防仍然存在挑战。目前国内外对于结直肠癌术后谵妄的相关报道较少,需要开展更深入的诊治研究。本文就结直肠癌术后谵妄的临床特征、发病机制、评估工具、治疗和预防方法等方面进行综述,以促进结直肠癌术后谵妄的早期识别和优化治疗,提高患者的预后和生存质量。【关键词】结直肠癌;术后谵妄;发病机制;评估工具;治疗【中图分类号】R619AdvancesinthediagnosisandtreatmentofpostoperativedeliriumincolorectalcancerZHANGJianfeng*,YUBin,ZHANGZhenya,WANGGuiying.*TheSecondDepartmentofGeneralSurgery,theFourthHospitalofHebeiMedicalUniversity,Shijiazhuang050011,ChinaCorrespondingauthor:WANGGuiyingE⁃mail:13932186739@139.com【Abstract】Acommoncomplicationaftercolorectalcancersurgeryisdelirium,whichhasahighincidenceandremainschallengingtotreatandprevent.Atpresent,therearefewerreportsonpostoperativedeliriumincolorectalcancerathomeandabroad,andmorein-depthdiagnosticandtreatmentresearchisneeded.Inthisarticle,wereviewtheclinicalfeatures,pathogenesis,assessmenttools,treatmentandpreventionmethodsofpost⁃operativedeliriumincolorectalcancerinordertopromotetheearlyidentificationandoptimaltreatmentofpostop⁃erativedeliriumincolorectalcancer,andtoimprovetheprognosisandqualityoflifeofpatients.【Keywords】colorectalcancer;postoperativedelirium;pathogenesis;assessmenttools;treatment结直肠癌术后谵妄是结直肠癌手术后的一种常见并发症,临床表现为认知功能障碍及注意力障碍,发生时间多在手术后48h内,持续时间不定,可能仅持续数小时,也可能持续数天[1-3]。结直肠癌术后谵妄不仅会给患者带来身体上的不适,还会对患者的康复和预后造成负面影响。但国内外针对结直肠癌术后谵妄的相关报道较少,因此,对结直肠癌术后谵妄的诊治进行深入研究具有重要的临床意义。本文将就结直肠癌术后谵妄的发病机制、临床特征、评估工具、预防和治疗等方面的研究进...