全麻术后意识恢复呼吸抑制原因探讨  

Respiratory depression reasons discussion of regaining consciousness after general anesthesia

作　　者：代宇[1] 杨许莲 李昌菊[1] 

机构地区：[1]四川省安县人民医院ICU,四川安县622651

出　　处：《中国医药科学》2014年第19期93-97,共5页China Medicine And Pharmacy

摘　　要：目的探讨择期手术全身麻醉术后患者经麻醉医师评估后拔除人工气道,在麻醉恢复监测过程中出现呼吸抑制重建人工气道的原因,提出预防与处理措施。方法回顾2012年3月-2014年3月由麻醉科送入重症医学科的择期全身麻醉术后患者2209例,对其中6例已拔除人工气道患者在入住重症医学科后5-20min内出现呼吸抑制并重建人工气道患者的原因进行分析。结果全麻术后患者意识恢复拔除人工气道后,出现呼吸抑制及气道梗阻与患者年龄、体重指数、手术时间短、全麻药及肌松药残留、气道高反应性等因素相关。结论全麻术后意识恢复不是拔除人工气道的主要指征;气道高危患者可适当延迟拔除人工气道;术后适当应用拮抗剂可减少全麻术后呼吸抑制并发症。Objective To discuss the reasons of the patients with respiratory depression and artificial airway reconstruction in the process of anesthesia recovery monitoring, the patients were unplugged the artificial airway after elective surgery under general anesthesia surgery and assessed by anesthesiologists, to propose prevention and treatment measures. Methods 2209 cases with elective general anesthesia surgery who were sent to critical care medicine by anesthesiology department from March 2012 to March 2014 were reviewed. of all the cases,there were 6 patients with artificial airway unplugged appeared respiratory depression and artificial airway reconstruction after the arrival of critical care medicine 5-20 min, analyzed the reasons. Results The patients who were unplugged artificial airway after general anesthesia and recovery of consciousness,respiratory depression and airway obstruction were associated with age, body mass index, shorter operative time, anesthetics and muscle relaxants residues, airway hyperresponsiveness and other related factors. Conclusion Recovery of consciousness after general anesthesia is not the main indications for removal artificial airway; Airway high-risk patients may be appropriate to delay unplug the artificial airway; proper application of antagonists can reduce respiratory depression complications after general anesthesia.

关 键 词：全麻术后 气道梗阻 呼吸抑制 原因 

分 类 号：R614[医药卫生—麻醉学]