儿童全身麻醉苏醒期躁动的临床相关因素分析

发布时间：2019-02-11 21:03

【摘要】：目的:研究儿童全身麻醉后苏醒期与临床相关因素间的关系,为儿童术后躁动的预防提供依据。方法:回顾性分析就诊于山西省儿童医院的行全身麻醉的患儿876例,观察组为全麻术后发生躁动的患儿53例,对照组为未发生躁动的患儿823例,采用logistic回归分析方法研究全身麻醉苏醒期躁动是否与性别、年龄、手术史、手术前的焦虑状况、手术时间的长短、手术的规模、手术过后的疼痛状况、术后留置尿管、苏醒时间的长短相互关联。结果:患儿全身麻醉苏醒期躁动组和非躁动组在性别、手术史、手术时间的长短、手术的规模、苏醒时间的长短无统计学差异(P0.05)。最终进入Logistic回归模型的危险因素为年龄、手术的规模、术后疼痛。而手术规模的大小可能在患儿全麻术后躁动的发生中与其他因素有相互协同作用。结论:年龄、术后疼痛、留置导尿管是儿童全身麻醉苏醒期躁动的独立危险因素。手术规模的大小可能与其他因素相互协同作用。
[Abstract]:Objective: to study the relationship between recovery period and clinical factors after general anesthesia in children, and to provide evidence for prevention of postoperative restlessness in children. Methods: a retrospective analysis was made on 876 children undergoing general anesthesia in Shanxi Children's Hospital, 53 children in observation group and 823 children in control group who had no restlessness after general anesthesia. Logistic regression analysis was used to study whether restlessness during general anesthesia was associated with sex, age, history of operation, anxiety before operation, duration of operation, scale of operation, pain after operation, indwelling urethral catheter after operation. The length of waking time is related to each other. Results: there was no significant difference in sex, operation history, length of operation time, operation scale and recovery time between restless group and non-restless group during general anesthesia (P0.05). The risk factors for final entry into the Logistic regression model were age, size of operation and postoperative pain. The size of the operation may be synergistic with other factors in the occurrence of restlessness after general anesthesia in children. Conclusion: age, postoperative pain and indwelling catheter are independent risk factors of restlessness during general anesthesia in children. The size of the operation may be synergistic with other factors.
【作者单位】：山西省儿童医院;
【分类号】：R726.1

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