| 李新琳,吴艳飞,王丽丽,杨沙沙,马海平.麻醉恢复室患者全麻苏醒期躁动的影响因素及与术后认知功能障碍的关系研究[J].,2021,(16):3074-3078 |
| 麻醉恢复室患者全麻苏醒期躁动的影响因素及与术后认知功能障碍的关系研究 |
| Study on the Influencing Factors of Restlessness During Recovery Period of General Anesthesia and Its Relationship with Postoperative Cognitive Dysfunction in Patients in Anesthesia Recovery Room |
| 投稿时间：2020-12-07 修订日期：2020-12-31 |
| DOI：10.13241/j.cnki.pmb.2021.16.015 |
| 中文关键词: 麻醉恢复室 全麻苏醒期躁动 影响因素 |
| 英文关键词: Anesthesia recovery room General anesthesia recovery agitation Influencing factors |
| 基金项目:新疆维吾尔自治区重点实验室开放课题（2018D04001） |
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| 中文摘要: |
| 摘要 目的：探讨麻醉恢复室患者全麻苏醒期躁动（EA）的影响因素及与术后认知功能障碍（POCD）的关系。方法：选取2018年7月~2020年6月期间我院收治的100例麻醉恢复室患者，采用Riker镇静-躁动评分标准评估患者EA，采用本院自制问卷调查量表统计患者一般资料，采用蒙特利尔认知评估（MocA）量表评估研究对象的认知功能，应用多因素非条件Logistic回归分析EA患者的影响因素，观察EA与POCD的关系。结果：100例麻醉恢复室患者中，EA的发生率为13.00%（13/100），其中发生EA的患者纳为躁动组（n=13），未发生EA的患者纳为安静组（n=87）。POCD的发生率为38.00%（38/100），其中发生POCD的患者纳为POCD组（n=38），未发生POCD的患者纳为非POCD组（n=62）。单因素分析结果显示，EA的发生与年龄、性别、吸烟史、嗜酒史、术中补液、放置导尿管时间、ASA分级、术后镇痛、麻醉恢复室停留时间等因素有关（P<0.05），而与麻醉风险等级、麻醉方式、术后血小板、术后白蛋白等因素无关（P>0.05）。多因素非条件Logistic回归分析结果显示男性、年龄≥60岁、ASA分级为III级、术后无镇痛、诱导后放置导尿管为EA发生的危险因素（P<0.05）。POCD组患者EA的发生率高于非POCD组（P<0.05）。结论：EA的发生与多种因素有关，临床应对年龄≥60岁、ASA分级为III级、术后无镇痛、诱导后放置导尿管等因素予以关注并适当干预，同时POCD与EA的发生具有一定的关系。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the influencing factors of restlessness (EA) during recovery period of general anesthesia and its relationship with postoperative cognitive dysfunction (POCD) in patients in anesthesia recovery room. Methods: 100 patients in the anesthesia recovery room in our hospital were selected from July 2018 to June 2020. Riker sedation agitation score was used to evaluate the patients' EA. The self-made questionnaire survey scale was used to calculate the general data of patients. The Montreal Cognitive Assessment (MoCA) scale was used to evaluate the cognitive function of the subjects. The influence of EA patients was analyzed by multivariate unconditional logistic regression. The relationship between EA and POCD was observed. Results: The incidence of EA was 13.00% (13/100) in 100 patients in the anesthesia recovery room. The patients with EA were included in the restless group (n=13), and the patients without EA were included in the quiet group (n=87). The incidence of POCD was 38.00% (38/100). The patients with POCD were included in the POCD group (n=38), and the patients without POCD were included in the non POCD group (n=62). Univariate analysis showed that the incidence of EA was related to age, gender, smoking history, alcohol drinking history, intraoperative fluid infusion, catheter placement time, ASA classification, postoperative analgesia, anesthesia recovery room stay time and other factors(P<0.05), but not with anesthesia risk level, anesthesia mode, postoperative platelet, postoperative albumin and other factors (P>0.05). Multivariate unconditional logistic regression analysis showed that male, age ≥60 years, ASA grade III, no postoperative analgesia and catheter placement were risk factors for EA(P<0.05). The incidence of EA in POCD group was higher than that in non POCD group (P<0.05). Conclusion: The occurrence of EA is related to many factors. We should pay attention to the factors such as age ≥ 60 years old, ASA grade III, no postoperative analgesia, catheter placement after induction and so on. |
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