成人全麻苏醒期躁动相关因素回顾性分析

目的分析成人全麻苏醒期躁动的影响因素。方法回顾某院2007年l月～2011年2月择期行全身麻醉患者589例,ASA分级I～Ⅱ级,年龄(51.17±11.98)岁,体重(54.28±10.56)kg。根据Riker镇静-躁动分级对患者苏醒期进行评分。统计不同手术类别、麻醉方法、性别、术后镇痛、术后使用拮抗药的情况,术后发生躁动的比例以及各种因素与躁动的关系。结果 589例患者中躁动组患者121例,占20.54%。各种不良刺激是诱发躁动的最常见原因。全麻苏醒期躁动的主要影响因素有疼痛64例(46.7%)、气管导管刺激占39例(32.3%)、尿管刺激占10例(8.2%)、心理应激占4例(3.2%);手术类别:胸科、口腔、耳鼻喉和乳腺外科手术后躁动发生率明显高于其他手术类别(P﹤0.05)。结论全麻苏醒期躁动受多种因素影响,主要包括手术类别以及术后镇痛和术后使用催醒药的情况。

Retrospective analysis of factors related to emergence agitation after general anesthesia

OBJECTIVE To analyze the factors of adult emergence agitation after general anesthesia.METHODS Retrospective analysis 589 selective patients of general anesthesia in our hospital from January 2007 to February 2011,ASA I-Ⅱ,age(51.17±11.98)years,body weight(54.28 ± 10.56)kg.We evaluated the sedation score according to Riker sedation-agitation and analyzed the different surgical categories,anesthesia,gender,postoperative analgesia,emergence antagonism and the relationship between emergence agitation and these factors.RESULTS 121 patients with emergence agitation in 589 cases,accounted for 20.54%.A variety of harmful stimuli was the most common reason of agitation.The main factors of agitation were:pain in 64 patients(46.7%),stimulation from endotracheal tube in 39 cases(32.3%),catheter stimulation accounted for 10 cases(8.2%),psychological stress in 4 cases(3.2%);surgery categories:in departments of cerebral surgery,stomatology,ENT and breast surgery,the incidence of agitation after surgery was significantly higher than other surgery categories,P﹤0.05.CONCLUSION The emergence agitation after general anesthesia is affected by many factors,including postoperative analgesia and surgical category and analeptic.