Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2073-2075
LI Jia, ZHAO Moju, YANG Huiru, GAO Lifeng, GAO Yue, LI Kan, GUO Suna, SHEN Jianjun. The occurrence and related factors of delirium in patients undergoing laparoscopic hysterectomy during the anesthesia recovery period[J]. Chinese Journal of General Practice, 2025, 23(12): 2073-2075. doi: 10.16766/j.cnki.issn.1674-4152.004294
Citation: LI Jia, ZHAO Moju, YANG Huiru, GAO Lifeng, GAO Yue, LI Kan, GUO Suna, SHEN Jianjun. The occurrence and related factors of delirium in patients undergoing laparoscopic hysterectomy during the anesthesia recovery period[J]. Chinese Journal of General Practice, 2025, 23(12): 2073-2075. doi: 10.16766/j.cnki.issn.1674-4152.004294
shu

The occurrence and related factors of delirium in patients undergoing laparoscopic hysterectomy during the anesthesia recovery period

doi: 10.16766/j.cnki.issn.1674-4152.004294
  • 1.

    Department of Anesthesiology, Zhangjiakou First Hospital, Zhangjiakou, Hebei 075000, China

Funds:

 20241628

  • Received Date: 2025-06-11
    Available Online: 2026-03-13
    Abstract
  •   Objective  To analyze the current status of delirium during anesthesia recovery in patients undergoing laparoscopic hysterectomy, to investigate its influencing factors, in order to provide evidence for clinical prevention and intervention and improve the quality of postoperative rehabilitation.  Methods  A total of 120 female patients who underwent elective laparoscopic hysterectomy in Zhangjiakou First Hospital from January 2021 to January 2024 were selected. Perioperative patient-related data were collected and divided into delirium group and non-delirium group according to whether delirium occurred during the postoperative anesthesia recovery period. The incidence of delirium during recovery from anesthesia in patients undergoing laparoscopic hysterectomy was observed. Univariate and multivariate logistic regression were used to analyze the independent risk factors for delirium during anesthesia recovery in patients undergoing laparoscopic hysterectomy.  Results  The incidence rate of delirium was 13.34% (16/120). Univariate and multivariate logistic regression analysis results showed that sleep disorder, use of dexmedetomidine before/during surgery, CO2 pneumoperitoneum time, operation time, intraoperative blood loss, VAS score and the total amount of anesthetic drugs were factors that affect the occurrence of delirium in patients (P=0.006, 0.033, 0.004, 0.002, 0.010, 0.024 and 0.005; OR 95% CI: 1.501-11.659, 1.074-5.191, 1.287-3.826, 1.250-2.705, 1.310-7.211, 1.109-4.189, and 1.349-5.360).  Conclusion  Sleep disorder, preoperative/during use of dexmedetomidine, CO2 pneumoperitoneum time, operation time, intraoperative blood loss, VAS score and total amount of anesthetic drugs are all factors that contribute to the occurrence of delirium during anesthesia recovery in patients undergoing laparoscopic hysterectomy. Clinical prevention and intervention should be actively targeted at the above risk factors.

     

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