帕金森病患者脑深部电刺激术后麻醉恢复期常见并发症分析

Analysis on common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease

目的：探讨帕金森病患者脑深部电刺激术后麻醉恢复期常见并发症的发生情况。方法对869例帕金森病行脑深部电刺激术的患者麻醉恢复期并发症发生情况进行回顾性分析。结果患者麻醉恢复期的中位苏醒时间为15（0～30）min。869例帕金森病患者并发症发生情况：高血压133例（15.3%），心律失常99例（11.4%），苏醒期躁动76例（8.7%），呼吸道梗阻24例（2.8%），术后恶心呕吐（PONV）18例（2.1%），低氧血症17例（2.0%），疼痛10例（1.2%），苏醒延迟10例（1.2%），寒战3例（0.3%），低血压1例（0.1%）。1种并发症的发生率为26.8%（233/869），≥2种并发症的发生率为9.9%（86/869），总并发症发生率为36.7%（319/869）。患者转出麻醉恢复室时改良Aldrete评分情况：≥9分849例（97.7%），≤8分20例（2.3%）。结论帕金森病行脑深部电刺激术患者麻醉恢复期并发症有特殊性，要保持循环稳定、防止呼吸系统并发症和误吸的发生，针对性预防治疗可减少并发症发生率，改善预后。

Objective To investigate the common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease. Methods The complications during anesthesia recovery period after deep brain stimulation in 869 patients with Parkinson disease were retrospectively analyzed. Results The median recovery time during anesthesia recovery period was 15 （0 - 30） min. The complications of 869 patients with Parkinson disease were hypertension in 133 cases （15.3%）, arrhythmia in 99 cases （11.4%）, agitation in recovery period in 76 cases （8.7%）, respiratory obstruction in 24 cases （2.8%）, postoperative nausea and vomiting （PONV） in 18 cases （2.1%）, hypoxemia in 17 cases （2.0%）, pain in 10 cases （1.2%）, delayed emergence in 10 cases （1.2%）, shivering in 3 cases （0.3%）, and hypotension in 1 case （0.1%）. The incidence of 1 complication was 26.8%（233/869）, the incidence of ≥ 2 complications was 9.9% （86/869）, and the total incidence of＆amp;nbsp;complications was 36. 7% （319/869）. In the 869 patients, the modified Aldrete score ≥ 9 scores when patients were removed away from the anesthesia recovery room was in 849 cases （97.7%）, and≤8 scores was in 20 cases （2.3%）. Conclusions The common complications during anesthesia recovery period after deep brain stimulation in patients with Parkinson disease are special. To maintain a stable circulation, preventing respiratory complications and aspiration are important to reduce the incidence and improve the prognosis.