腹股沟疝手术患儿全身麻醉后苏醒期躁动危险因素的回顾性研究

Retrospective study on risk factors of emergence agitation in children with systemic inguinal hernia operation after anesthesia

目的探讨行腹股沟疝手术患儿全麻后苏醒期躁动（emergence agitation,EA）的危险因素。方法选择北京朝阳医院京西院区麻醉科2012年6月至2014年12月期间实施腹股沟疝手术的小儿患者521例,评估全麻后EA的发生率,观察患儿年龄、性别、既往手术史、患儿与家长分离行为、麻醉时间、手术时间、手术方式、苏醒时间与EA发生的关系。结果 120例患儿发生了EA,发生率为23%。单因素分析发现,2~6岁年龄和难以与父母分开对全麻后EA的发生有影响。多因素Logistic分析结果显示,2~6岁年龄是EA发生的危险因素。结论 2~6岁年龄是行腹股沟疝手术患儿全麻后EA发生的危险因素。

Objective To investigate the risk factors associated with emergence agitation （ EA） in pediatrics after gen-eral anesthesia. Method A study was conducted in 521 pediatric patients, who received general anesthesia for the op-eration of inguinal hernia in west campus of Beijing Chao-yang hospital from June 2012 to December 2014. The inci-dence of EA was evaluated. And the relationship of age, sex, operation history, parental-separation behavior, anes-thesia time, operation time, operation method, awakening time and EA were assessed. Result One hundred and twen-ty children had EA, and the incidence was 23%. From univariate analysis, factors associated with EA were from 2 to 6 years old, and difficult parental-separation behavior. The multiple Logistic regression analysis showed only from 2 to 6 years old was significantly associated with EA. Conclusion The study indicated that age of 2 to 6 years was the pre-dictive factors of EA in pediatrics after general anesthesia receiving operation of inguinal hernia.