骨科全麻术后患者麻醉苏醒期躁动的影响因素分析

Analysis of Influencing Factors of Restlessness During Anesthesia in Patients After Orthopedic General Anesthesia

目的探讨骨科全麻术后患者麻醉苏醒期躁动的影响因素。方法选取2018年1月—2020年1月本院骨科全麻术后麻醉苏醒期患者264例为研究对象,采用Ricker镇静-躁动评分量表(Ricker sedation-agitation scale,SAS)评估患者的躁动情况,采用单因素和Logistic回归分析躁动的危险因素。结果264例患者中发生躁动72例(27.27%),Logistic回归结果显示,肌松药物、VAS评分、术前焦虑、低氧血症是麻醉苏醒期躁动的独立危险因素。结论对存在麻醉苏醒期躁动危险因素的患者进行干预,以确保其度过苏醒期。

Objective To explore the influencing factors of restlessness during anesthesia and recovery in patients after general anesthesia in orthopedics.Methods From January 2018 to January 2020,264 patients who were anesthetized and recovered from general anesthesia after orthopedic surgery in our hospital were selected as the research subjects.The Ricker sedation-agitation scale(SAS)was used to evaluate the patients’agitation.The risk factors for restlessness was evaluated by univariate and logistic regression analysis.Results 72 cases(27.27%)of 264 patients had agitation.Logistic regression results showed that muscle relaxants,VAS score,preoperative anxiety,and hypoxemia were independent risk factors for restlessness during anesthesia.Conclusion Intervention is performed in patients with risk factors for restlessness during anesthesia to ensure that they survive the recovery period.