| 李新琳,徐维昉,王丽丽,吴艳飞,马海平.麻醉恢复室胃癌腹腔镜术后患者全麻苏醒期躁动发生率及其危险因素分析[J].,2022,(15):2879-2882 |
| 麻醉恢复室胃癌腹腔镜术后患者全麻苏醒期躁动发生率及其危险因素分析 |
| Analysis on the Incidence and Risk Factors of Emergence Agitation in Patients with Gastric Cancer after Laparoscopic Surgery in Anesthesia Recovery Room |
| 投稿时间：2022-02-01 修订日期：2022-02-24 |
| DOI：10.13241/j.cnki.pmb.2022.15.015 |
| 中文关键词: 麻醉恢复室 胃癌 腹腔镜 苏醒期躁动 危险因素 全麻 |
| 英文关键词: Anesthesia recovery room Gastric cancer Laparoscope Emergence agitation Risk factors General anesthesia |
| 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：研究麻醉恢复室胃癌腹腔镜术后患者全麻苏醒期躁动（EA）发生率，并分析其危险因素。方法：选择2019年1月至2021年10月期间在我院接受胃癌腹腔镜术的患者208例为研究对象，观察麻醉恢复室胃癌腹腔镜术后患者EA发生率，并分析其危险因素。结果：208例麻醉恢复室胃癌腹腔镜术后患者中，约有22例患者发生EA，发生率为10.58%。根据患者术后是否发生EA分为EA组（n=22）和无EA组（n=186）。单因素分析结果显示麻醉恢复室胃癌腹腔镜术后患者EA发生与ASA分级、年龄、合并高血压、性别、合并糖尿病、手术时间、术前焦虑、尿管留置时间、术后镇痛情况、静吸复合麻醉维持、术中低体温、麻醉恢复室停留时间、术中补液量有关（P<0.05）。多因素Logistic回归分析结果显示手术时间≧3 h、静吸复合麻醉维持、无术后镇痛、术前焦虑、年龄≧60岁、术中低体温、合并糖尿病、ASA分级II级、性别男均是麻醉恢复室胃癌腹腔镜术后患者EA发生的危险因素（P<0.05）。结论：麻醉恢复室胃癌腹腔镜术后患者EA发生率较高，且受到手术时间、静吸复合麻醉维持、术后镇痛情况等因素的影响，在临床工作中，针对上述因素采取防治措施，以期降低EA发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To study the incidence of emergence agitation (EA) in patients with gastric cancer after laparoscopic surgery in the anesthesia recovery room, and to analyze its risk factors. Methods: 208 patients who underwent laparoscopic surgery for gastric cancer in our hospital from January 2019 to October 2021 were selected as the research objects. The incidence of EA in patients with gastric cancer after laparoscopic surgery in anesthesia recovery room was observed, and its risk factors were analyzed. Results: Among 208 patients with gastric cancer after laparoscopic surgery in anesthesia recovery room, about 22 patients developed EA, with an incidence of 10.58%. The patients were divided into EA group (n=22) and no EA group (n=186) according to whether EA occurred after surgery. Univariate analysis showed that the incidence of EA in patients with gastric cancer after laparoscopic surgery in the anaesthesia recovery room gastric cancer were related to ASA classification, age, complicated with hypertension, gender, complicated with diabetes mellitus, operation time, preoperative anxiety, catheter retention time, postoperative analgesia condition, maintenance of intravenous inhalation combined anesthesia, intraoperative hypothermia, stay time in anesthesia recovery room and intraoperative fluid volume (P<0.05). Multivariate Logistic regression analysis showed that operation time ≧3 h, maintenance of intravenous inhalation combined anesthesia, no postoperative analgesia, preoperative anxiety, age ≧60 years, intraoperative hypothermia, complicated with diabetes mellitus, ASA classification was grade II, gender was male were all risk factors for EA in patients with gastric cancer after laparoscopic surgery in anesthesia recovery room(P<0.05). Conclusion: The incidence of EA in patients with gastric cancer after laparoscopic surgery in anesthesia recovery room is high, and which is affected by factors such as operation time, maintenance of intravenous inhalation combined anesthesia, postoperative analgesia, etc. In clinical work, prevention and treatment measures should be taken according to the above factors to reduce the incidence of EA. |
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