全身麻醉维持方式与苏醒期躁动关系的临床观察

Observation of the relationship between ways of general anesthesia and emergence agitation

目的探讨腹腔镜手术全凭吸入麻醉、静吸复合麻醉与苏醒期躁动（emergence agitation，EA）的关系。方法纳入择期行腹腔镜胆囊切除术的患者70例，采用随机数据表法分为两组：全凭吸入麻醉组（s组）和静吸复合麻醉组（V＋S组），每组35例，分别采用全凭吸入麻醉和静吸复合麻醉；于术后30min时点采用镇静躁动分级法对患者苏醒状况进行评分，比较不同麻醉方式下EA的发生率。结果两组患者年龄、性别、体重、术中镇痛药使用量比较，差异无统计学意义（P〉0．05）。V＋S组患者EA的发生率显著低于s组（21．9％比48．5％，P〈0．05）。结论腹腔镜胆囊切除术采用静吸复合麻醉较全凭吸入麻醉EA的发生率低。

Objective To compare the incidence of emergence agitation between intravenous-inhalation combined anesthesia and total inhalation anesthesia in patients undergoing laparoscopic surgery. Methods Seventy patients of 18 to 80 years old were divided into intravenous-inhalation combined anesthesia group and total inhalation anesthesia group respectively. The level of emergence agitation was measured by sedation-agitation scale 30 min after surgery. Results There was no significant difference between two groups in age, sex, weight and pain medicine（P〉0.05）. The incidence of agitation in patients under intravenous-inhalation combined anesthesia was significantly lower than total inhalation anesthesia （21.9% vs 48.5%）（P〈0.05）. Conclusions Intravenous- inhalation combined anesthesia is better than total inhalation anesthesia in reducing the incidence of agitation in patients undergoing laparoscopic surgery.