影响全麻苏醒期老年患者躁动的危险因素调查

目的调查影响全麻苏醒期老年患者躁动的危险因素。方法对1486例老年全麻患者的病案资料进行调查,并进行相关分析。结果EA的发生在性别、年龄、高血压病史、脑外伤或脑梗病史、手术类别、有无术后镇痛、有无在诱导前使用导尿管、多沙普仑催醒情况、有无低氧（SPO2〈90％）等方面,存在着明显差异（P〈0．05）。多因素分析表明,较小的年龄、无高血压史、无脑外伤或脑梗病史、未用多沙普仑催醒等为避免EA发生的保护因素（OR〈1,P〈0．05）;诱导后放置导尿管、术后未镇痛为导致EA发生的危险因素（OR〉1,P〈0．05）。结论老年全麻患者EA的发生和多种因素有关,针对老年全麻患者EA发生的危险因素采取一定的预防措施,很有必要。

Survey of the high risk factors impacted on patients with emergence agitation

Objective To investigate the high risk factors impacted on patients with EA.Methods Questionaire and survey to 1486 eldly patients with EA,the risk factors analysis were performed.Results Univariate analysis showed that sex,age,history of hypertension,traumatic brain injury or stroke history,type of operation,analgesia,catheterization,doxapram,SpO2<90% were profoundly related to EA(P < 0.05 or P < 0.01).Multivariate analysis identified that lower age,no hypertension,no traumatic brain injury or stroke history,no doxapram were the protective factors of EA(OR < 1,P < 0.05).While catheterization after anesthesia induction and no analgesia were the risk factors.Conclusion EA is associated with many factors and early detection and early treatment are needed.