中老年患者行肝叶切除后麻醉恢复期躁动的影响因素分析  

In elderly patients with hepatic resection after recovery from anesthesia-related factors affecting restlessness

作　　者：邹磊[1] 李晓理[1] 

机构地区：[1]重庆医科大学附属第一医院麻醉科,重庆400016

出　　处：《陕西医学杂志》2014年第6期690-691,共2页Shaanxi Medical Journal

基　　金：国家临床重点专科建设项目(2100299)

摘　　要：目的:探讨中老年患者行肝叶切除后麻醉恢复期躁动的影响因素。方法:回顾性分析186例择期肝叶切除术患者的临床资料,按照Riker镇静-躁动等级将患者分成躁动组40例和平静合作组146例,观察两组患者恢复期的躁动影响因素。结果:影响中老年患者行肝叶切除后麻醉恢复期躁动的主要因素有9个;术后血小板无统计学意义(P>0.05);其他影响因素均有统计学意义(P<0.05)。结论:引起中老年患者行肝叶切除后麻醉恢复期躁动包括动脉血二氧化碳分压、术前血小板、术前谷草转氨酶、术前总胆红素、术后血小板、术后谷草转氨酶、术后白蛋白、术后镇痛、术后谷丙转氨酶,其中术后镇痛为保护因素,能够预防躁动。Objective：Analysis of elderly patients with hepatic resection after recovery from anesthesia-related factors that influence restlessness.Methods：March 2010to March 2011 186patients undergoing elective surgery performed hepatectomy patients were retrospectively analyzed clinical data;according to Riker sedation-patients were divided into restless agitation level group of 40patients and calm cooperation group of 146cases were observed in patients with restless recovering from two factors.Results：The effects of middle-aged patients with hepatic resection after recovery from anesthesia restlessness main factors have nine;postoperative platelet not statistically significant（P〈0.05）;Other factors were statistically significant（P〉0.05）.Conclusion：The cause elderly patients recovering from anesthesia after hepatectomy include restlessness vein blood carbon dioxide partial pressure,preoperative platelet preoperative aspartate aminotransferase,total bilirubin preoperative and postoperative platelet,aspartate aminotransferase surgery,postoperative albumin,postoperative pain,postoperative alanine aminotransferase,which is aprotective factor for postoperative analgesia,can prevent restlessness.

关 键 词：肝切除术 麻醉恢复期 烦躁 危险因素 

分 类 号：R614.27[医药卫生—麻醉学]