全麻病人麻醉恢复期躁动的危险因素  

Risk factors for emergence agitation in patients after general anesthesia

作　　者：沈一维[1] 魏珂[1] 闵苏[1] 黎平[1] 律峰[1] 金菊英[1] 董军[1] 

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016

出　　处：《中华麻醉学杂志》2012年第11期1317-1319,共3页Chinese Journal of Anesthesiology

基　　金：中国科学院心理健康重点实验室开放课题（2010）;重庆市卫生局医学科研重点计划项目（2010-1-10）

摘　　要：目的筛选全麻病人麻醉恢复期躁动的危险因素。方法择期全麻手术病人1034例，性别不限，年龄18～89岁。根据麻醉恢复期是否发生躁动，将病人分为非躁动组和躁动组。记录年龄、性别、合并症、受教育程度、病史、ASA分级、术前用药、全麻方法、手术种类、术中补液量、麻醉时间、手术时间、术中出血量、尿量、PACU停留时间和术后引流管数量等。将组间差异有统计学意义的吲素进行多因素logistic回归分析，筛选麻醉恢复期的危险因素。结果36例病人麻醉恢复期发生躁动，发生率为3．5％。logistic回归分析结果显示：ASA分级高、术前用药使用地西泮、麻醉诱导未使用咪达唑仑及术中补液程度高是麻醉恢复期躁动的危险因素（P〈0．05）。结论ASA分级高、术前用药使用地西泮、麻醉诱导未使用咪达唑仑及术中补液程度高是全麻病人麻醉恢复期躁动的危险因素。Objective To determine the risk factors for emergence agitation （EA） during the recovery pe- riod afler general anesthesia. Methods One thousand and thirty-four patients of both sexes aged 18-89 yr undergo- ing general anesthesia were divided into EA group and non-EA group. EA occurring during recovery from general anesthesia was assessed by using Riker sedation-agitation scale. Age, sex, complication, education, medical his- lory, ASA physical status, type and duration of anesthesia and operation, volume of blood loss, fluid replacement, twine volume, duration of stay in PACU, number of drainage tubes and so forth were recorded. Multivariate logistic regression was used to analyze the risk factors for the occurrence of EA. Results Thirty-six patients developed EA during recovery from anesthesia. The incidence of EA was 3.5 % . Logistic regression indicated that high risk oper- ation, premedication with diazepam, induction of anesthesia without midazolom and fluid replacement during opera- lion were the risk factors for EA （ P 〈 0.05） .Conclusion High-risk operation, premedication with diazepam, in- duction of anesthesia without midazolom and fluid replacement during operation are the risk factors for EA during recovery from general anesthesia.

关 键 词：麻醉 全身 麻醉恢复期 烦躁 危险因素 手术后并发症 

分 类 号：R614[医药卫生—麻醉学]