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腹部手术患者全麻苏醒期躁动相关因素分析
引用本文:钱志成,万勇,王大庆,葛颖,苏晓林.腹部手术患者全麻苏醒期躁动相关因素分析[J].四川医学,2011,32(11):1710-1712.
作者姓名:钱志成  万勇  王大庆  葛颖  苏晓林
作者单位:川北医学院附属医院重症医学科,四川南充,637000
基金项目:川北医学院附属医院科研基金课题(编号:201009)
摘    要:目的对腹部手术全麻苏醒期躁动的相关因素进行分析,筛选出独立危险因素。方法观察腹部手术术后患者意识恢复情况,记录患者性别、年龄、体重、疾病类别、术前睡眠时间、麻醉时间、吸入麻醉用量、吸入麻醉停用时间、术中输液量、输血量、失血量、尿量。用Logistic回归分析研究影响全麻苏醒期躁动的相关因素。结果共有142例患者纳入分析,全麻苏醒期躁动发生率17.61%。年龄(B=-0.059,P=0.007,OR=0.943,95%CI of OR:0.902~0.986)和术前睡眠时间(B=-0.786,P=0.000,OR=0.455,95%CI of OR:0.317~0.655)对全麻苏醒期躁动具有显著影响。结论年龄和术前睡眠时间是影响腹部手术患者全麻苏醒期躁动的独立危险因素。

关 键 词:腹部手术  全麻苏醒期躁动  年龄  术前睡眠时间

Analysis of risk factors to effect emergence agitation after abdominal operation
Institution:QIAN Zhi-cheng,WAN Yong,WANG Da-qing,et al.The Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China
Abstract:Objective Analysis of risk factors of emergence agitation after abdominal operation to get the indepent risk factors.Methods Observe consciousness recovery after anaesthesia.Record patiens' gender,age,weight,diagnose,properation sleep time,anaesthesia time,dosage and time of inhalational anesthesia,volume of transfusion,blood transfusion,blood lose and urinary.Results 142 patients abserved,17.61% of which is emergence agitation.age(B=-0.059,P=0.007,OR=0.943,95%CI of OR:0.902~0.986)and properation sleep time(B=-0.786,P=0.000,OR=0.455,95%CI of OR:0.317~0.655)are indepent risk factors.Conclusion Age and properation sleep time are indepent risk factors to effect emergence agitation after abdominal operation.
Keywords:abdominal operation  emergence agitation  age  properation sleep time
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