全身麻醉患者苏醒期躁动80例原因分析及对策

Cause analysis and countermeasures research for Emergence agitation of 80 patients with general anesthesia

目的:探讨全身麻醉患者苏醒期躁动的发生原因及对策。方法:选择全身麻醉手术患者450例,对不同手术的类别、麻醉方式、性别、性格、麻醉前用药、有无术后镇痛、拔管时机与术后发生躁动的关系及各种不良刺激所致苏醒期躁动的比例进行统计,同时对因药物所导致的躁动进行干预后统计。结果:450例患者中发生苏醒期躁动的有80例,占17.78%;疼痛、气管导管刺激、尿管刺激是苏醒期躁动发生的主要因素,所占比例分别为35.00%、23.75%、18.75%;不同手术种类、性别、性格、有无麻醉前用药、是否术后镇痛、拔管时机间苏醒期躁动发生比例差异有统计学意义(P<0.05)。结论:导致苏醒期躁动发生的影响因素较多,包括手术种类、性别、性格、有无麻醉前用药、是否术后镇痛、拔管时机等,应针对性地予以适当处理,以保障血氧饱和度正常、呼吸通畅且平稳。

Objective To study the causes and countermeasures in patients with the occurrence of Emergence agitation.Method 450 cases of patients with general anesthesia surgery were collected,different surgery categories,anesthesia method,gender,personality,pre-anesthetic medication,with and without postoperative analgesia,the relationship between decannulation time and Emergence agitation and the percentage of Emergence agitation caused by all kinds of bad stimulation were counted,the same time the data caused by drug intervention agitation after statistics was counted.Results 80 cases among 450 patients,the incidence of Emergence agitation was accounted for 17.78%;Pain,trachea,urine tube stimulate was a major cause of Emergence agitation occurs,the proportion was 35.00%,23.75%,18.75% respectively;Different operation types,gender,personality,presence of pre-anesthetic medication,whether postoperative analgesia,Emergence agitation rate between decannulation time,the differences were statistically significant（ P〈0.05）.Conclusion The influence factors of affect the occurrence of Emergence agitation is more,for these to try to give reasonable processing,in order to ensure normal blood oxygen saturation,and breathe easy and smooth.