早期目标导向镇静防治麻醉苏醒期躁动的研究进展  

Research Progress of Early Goal-Directed Sedation in Prevention and Treatment of Emergence Agitation during Anesthesia Recovery Period

作　　者：刘水元 韦克[2] 

机构地区：[1]右江民族医学院临床医学院,广西 百色 [2]右江民族医学院附属医院麻醉科,广西 百色

出　　处：《临床医学进展》2025年第2期708-715,共8页Advances in Clinical Medicine

摘　　要：苏醒期躁动(EA)是全麻苏醒期的临床常见并发症之一,主要表现为定向功能和感知功能改变的、对自身环境的认知和关注能力的障碍。EA的整体发生率因各因素影响从0.25%到90.5%不等,如处理不当,可对患者自身和医护人员造成严重危害。而早期目标导向镇静(EGDS)理念有助于减弱或消除伤害性刺激诱发的不良后果,从而减少EA的发生率,使全麻患者的复苏过程更加平稳舒适。本文围绕EA的影响因素、危害,以及EGDS理念的优势、常用药物等方面展开论述,为改善全麻患者的复苏质量,减少EA的发生率提供参考。Emergence agitation (EA) is one of the common complications during the recovery period after general anesthesia, primarily characterized by alterations in orientation and perceptual functions, leading to impaired cognitive and attentional abilities regarding one’s environment. The overall incidence of EA varies widely from 0.25% to 90.5% depending on various factors, and if not managed properly, it can pose serious risks to both patients and healthcare personnel. The concept of early goal-directed sedation (EGDS) can help mitigate or eliminate the adverse effects induced by harmful stimuli, thereby reducing the incidence of EA and making the recovery process for patients undergoing general anesthesia smoother and more comfortable. This article discusses the influencing factors and hazards of EA, as well as the advantages of the EGDS approach and commonly used medications, providing a reference for improving recovery quality in patients undergoing general anesthesia and reducing the incidence of EA.

关 键 词：早期目标导向镇静 苏醒期躁动 全身麻醉 复苏质量 

分 类 号：R61[医药卫生—外科学]