358例腹部手术患者全麻苏醒期躁动危险因素分析  

Analysis of risk factors to effect emergence agitation in 358 cases after abdominal operation

作　　者：王志丰[1] 

机构地区：[1]绍兴第二医院麻醉科

出　　处：《中国医院统计》2015年第6期439-440,共2页Chinese Journal of Hospital Statistics

摘　　要：目的探讨腹部手术患者全麻苏醒期躁动的危险因素。方法对2014年8月至2015年2月在全麻下行腹部手术358例患者的临床资料进行回顾性统计分析，采用单因素分析及logistic回归分析对全麻苏醒期躁动的相关因素进行分析。结果82例患者发生全麻苏醒期躁动，其发生率为22．9％。经单因素、logistic回归分析得出：吸入麻醉维持、使用催醒药、术后未镇痛、术后留置导尿为其危险因素（OR值分别为：2．769、2．584、3．947、2．013）。结论腹部手术患者全麻苏醒期躁动由多种因素引起，应采取积极措施，预防及减少全麻苏醒期躁动的发生。Objective To investigate risk factors to effect emergence agitation after abdominal operation. Methods To- tally 358 patients with abdominal operation were selected from August 2014 to February 2015 in our hospital, and their clinical data were retrospectively analyzed. The influencing factors to effect emergence agitation were analyzed with the single factors anal- ysis and Logistic regression analysis. Results 82 patients with emergence agitation in 358 cases, accounted for 22.9%. Single factors analysis and Logistic regression analysis revealed that maintenance by inhalation anesthesia, stimulated drug, no postoper- ative analgesia, urinary, catheterization were the risk factors of emergence agitation （OR = 2. 769, 2. 584, 3. 947 and 2. 013 re- spectively）. Conclusion The emergence agitation after abdominal operation is affected by many factors. Medical personnel need to take measures in order to reduce the incidence of emergence agitation.

关 键 词：腹部手术 苏醒期躁动 危险因素 

分 类 号：R735[医药卫生—肿瘤]