腹腔镜胃肠道手术麻醉后苏醒期躁动的多因素Logistic回归分析  

Multivariate logistic regression analysis of agitation during recovery after anesthesia in laparoscopic gastrointestinal surgery

作　　者：秦心怡 刘雁[1] QIN Xinyi;LIU Yan(The Second Xiangya Hospital of Central South University,Hunan 410007 China)

机构地区：[1]中南大学湘雅二医院,410007

出　　处：《全科护理》2020年第15期1813-1816,共4页Chinese General Practice Nursing

摘　　要：[目的]探讨腹腔镜胃肠道手术麻醉后苏醒期躁动的相关因素。[方法]选取择期行腹腔镜胃肠道手术病人98例为研究对象,统计麻醉后苏醒期躁动发生情况,并收集所有病人临床资料,进行单因素及多因素Logistic回归分析。[结果]98例腹腔镜胃肠道手术病人中麻醉苏醒期躁动发生率为28.57%;单因素分析显示,苏醒期躁动者年龄(≥60岁)、性别(男)、白细胞计数异常、留置导尿管及术后疼痛所占比例明显高于无躁动者(P<0.05);Logistic分析显示,年龄、性别、白细胞计数、留置导尿管及术后疼痛是腹腔镜胃肠道手术麻醉苏醒期躁动发生的危险因素(OR>1,P<0.05)。[结论]病人年龄、性别、白细胞计数、留置导尿管及术后疼痛是腹腔镜胃肠道手术麻醉苏醒期躁动发生的危险因素,应及时采取针对性干预措施,确保手术治疗效果。Objective:To explore the related factors of agitation during recovery after anesthesia in laparoscopic gastrointestinal surgery.Methods:A total of 98 patients undergoing laparoscopic gastrointestinal surgery in hospital were selected as the research objects in this study.The occurrence of agitation during recovery after anesthesia was summed,and the clinical data of all patients were collected.The factors related to the agitation during laparoscopic gastrointestinal surgery were analyzed by single-factor analysis and multivariate Logistic regression analysis.Results:The incidence of agitation during anesthesia recovery period in 98 patients with laparoscopic gastrointestinal surgery was 28.57%.single-factor analysis showed that the proportions of age(≥60 years),gender(male),abnormal white blood cell count,indwelling catheter and postoperative pain in agitation patients were significantly higher than those without agitation(P<0.05);Logistic analysis showed that age,gender,white blood cell count,indwelling catheter and postoperative pain were risk factors for agitation during anaesthesia in laparoscopic gastrointestinal surgery(OR>1,P<0.05).Conclusions:Age,gender,white blood cell count,indwelling catheter and postoperative pain were risk factors for agitation during anaesthesia in laparoscopic gastrointestinal surgery.Targeted interventions should be taken to ensure the effect of surgery.

关 键 词：腹腔镜胃肠道手术 麻醉 苏醒期躁动 LOGISTIC回归分析 

分 类 号：R473.5[医药卫生—护理学]