麻醉恢复室的成年患者全麻苏醒期躁动危险因素分析

发布时间：2019-06-12 13:46

【摘要】：目的探讨麻醉恢复室(PACU)的成年患者全麻苏醒期躁动(EA)危险因素。方法选择进入PACU进行全麻苏醒的择期手术患者2 056例,年龄大于18岁,性别不限,记录年龄、性别、体质量、ASA分级、术前合并疾病、受教育程度、术前用药、全麻方式、诱导使用咪达唑仑、麻醉时间、手术部位、手术种类、手术时间、术中出血量、术中补液量、PACU恢复时间、有无尿管、尿量、有无体温异常等。根据患者麻醉苏醒期是否发生躁动,分为安静组和躁动组。将组间差异有统计学意义的因素进行多因素Logistic回归分析,筛选麻醉苏醒期的危险因素。结果 127例患者在PACU的麻醉苏醒期发生躁动,发生率为6.18%。Logistic回归分析显示,ASA分级高、术中补液量大、安置尿管和术后疼痛是EA的危险因素(P0.05)。结论 ASA分级高、术中补液量大、安置尿管和术后疼痛是EA的危险因素。
[Abstract]:Objective to investigate the risk factors of restlessness (EA) in adult patients with (PACU) during general anesthesia. Methods 2056 patients with general anesthesia awakening after general anesthesia were enrolled in this study. Age, sex, body mass, ASA grade, preoperative complicated disease, educational level, preoperative medication, general anesthesia, induction of midazolam, anaesthesia time, operation site, operation type, operation time, intraoperative bleeding volume, intraoperative rehydration time, PACU recovery time, urinary catheter and urine volume were recorded as follows: age, sex, body mass, ASA grade, combined disease before operation, education level, preoperative medication, general anesthesia, induction of midazolam, anaesthesia time, operation site, operation type, operation time, intraoperative bleeding volume, intraoperative rehydration time, PACU recovery time, urinary catheter and urine volume. Do you have abnormal body temperature, etc. According to whether the patients had restlessness during anaesthesia recovery, they were divided into quiet group and restless group. The factors with statistically significant differences between groups were analyzed by multivariate Logistic regression analysis to screen the risk factors during anaesthesia recovery. Results 6.18%.Logistic regression analysis showed that the ASA grade was high, the amount of fluid rehydration during operation was large, and the placement of catheter and postoperative pain were the risk factors of EA (P 0.05). Conclusion ASA grade is high and the amount of fluid rehydration during operation is large. The placement of catheter and postoperative pain are the risk factors of EA.
【作者单位】：重庆市江津区中心医院麻醉科;天津医科大学第二医院放射科;重庆医科大学附属第一医院医院麻醉科;
【基金】：中国博士后科学基金资助项目(2013M530880) 重庆市卫生局2011年医学科研计划资助项目(2011-2-453)
【分类号】：R614.2

【共引文献】