普外科病人全麻后苏醒期躁动危险因素分析

目的:分析普外科病人全麻后苏醒期躁动的危险因素.方法:选取普外科接受全麻手术病人514例,回顾分析术前、术中变量对全麻后苏醒期躁动发生率的影响.采用单因素分析及多因素logistic回归分析,筛选其中的危险因素.结果:514例病人中32例发生苏醒期躁动.单因素分析显示躁动病人性别、ASA分级、术中补液、术后贫血、留置导尿管、视觉模拟评分法评分>4分比例高于安静组(P<0.05~P<0.01).多因素分析显示ASA分级、留置导尿管、术中补液量大及术后视觉模拟评分法评分>4分是全麻后躁动的危险因素.结论:对ASA分级高、留置导尿管、术中补液量大及手术疼痛较严重的病人应当积极进行术后镇定,预防躁动发生.

The risk factor analysis of the agitation in general surgical inpatients after general anesthesia

Objective:To investigate the risk factor of agitation in general surgical inpatients after general anesthesia.Methods:The effects of the preoperative and intraoperative variables on the incidence of agitation during awakening in 514 general surgical inpatients were retrospectively analyzed after general anesthesia.The risk factors were screened using single factor and multiple factor regression equation analysis.Results:Among 514 patients,the severe agitation in 32 cases was found.Single factor analysis showed that the proportions of gender,ASA grade,intraoperative fluid infusion,postoperative anemia,indwelling catheter and VAS more than 4 points in agitation patients were significantly higher than those in quiet patients(P<0.05 to P<0.01).Multivariate analysis showed that the ASA classification,indwelling catheter,intraoperative fluid infusion and postoperative VAS more than 4 points were the risk factors of agitation after general anesthesia.Conclusions:Patients with high ASA grade,indwelling catheter,large amount of fluid infusion and severe surgical pain should be treated with positive postoperative stabilization to prevent agitation.