脑性瘫痪患儿全麻苏醒延迟的影响因素  

Factors Related with Prolonged Anesthesia Recovery in Patients with Cerebral Palsy after General Anesthesia

作　　者：韩长河 王增春[2,3] 王强[2,3] 

机构地区：[1]北京市社会福利医院麻醉科,北京市100085 [2]首都医科大学康复医学院,北京市100068 [3]中国康复研究中心北京博爱医院麻醉科,北京市100068

出　　处：《中国康复理论与实践》2015年第6期701-705,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨导致脑瘫患儿全麻苏醒延迟的因素。方法回顾从2009年7月～2014年8月在全麻下接受下肢矫形术的脑瘫患儿293例的临床资料并对相关因素进行分析。结果37N（12．6％）患儿存在全麻苏醒延迟，单因素分析（X2检验）显示与体重、ASA分级、静脉通路建立方式、出血量、辅助硬膜外麻醉、术中吸入麻醉药、发生不良事件有关（P〈0．05）；多因素非条件Logistic分析显示，ASA分级（B=1．490）、发生不良事件（B=2．159）和辅助硬膜外麻醉（B=-1．487）对全麻苏醒延迟产生影响（P〈0．05）。结论全麻苏醒延迟可能是多种因素的综合结果，全麻辅助硬膜外麻醉有助于脑瘫全麻患儿的苏醒。Objective To explore the factors related with prolonged anesthesia recovery （PAR） in patients with cerebral palsy after gener- al anesthesia. Methods 293 patients with cerebral palsy who received lower limbs orthopedics （LLO） under general anesthesia during July, 2009 to August, 2014 were retrospected and the factors related to PAR were analyzed. Results 37 patients （12.6%） suffered from PAR. There was significant difference in factors including body-weight, grade of physical status for anesthesia according to American Association of Anesthesiologists （ASA）, the style to set a venous channel, blood loss, general anesthesia combined with epidural anesthesia （GAEA）, in- tra-operative inhalation anesthetics, and serious adverse events （SAE） between patients with or without PAR, according to single factor anal- ysis with chi-square test. It was significant that the factors of ASA grade （B=1.490）, SAE （B=2.159） and GAEA （B=-1.487） according to non-conditional logistic analysis. Conclusion PAR is related to several factors and GAEA combined with general anesthesia contributes to the recovery of patients with cerebral palsy.

关 键 词：脑性瘫痪 全身麻醉 苏醒延迟 

分 类 号：R742.3[医药卫生—神经病学与精神病学]