全麻手术患者麻醉复苏期的躁动因素分析

Analysis of agitation factors in patients undergoing general anesthesia during anesthesia resuscitation

目的:探讨全麻手术患者麻醉复苏期的躁动因素。方法:选取2019年6月-2020年6月实施全麻手术患者70例,观察患者麻醉复苏期的躁动情况。结果:耳鼻喉手术躁动发生率最高,其次为胸外科手术、乳腺手术、妇科手术、骨科手术、腹部手术;疼痛是导致麻醉复苏期患者躁动主要因素,其次为尿道插管、心理刺激、制动不当及其他因素。结论:诱发全麻手术患者麻醉复苏期躁动的主要因素为疼痛、尿道插管等,手术类型、麻醉方式、术后是否镇痛及应用催醒药等也可是诱发患者躁动的原因。

Objective:To explore the agitation factors of patients undergoing general anesthesia during anesthesia recovery period.Methods:From June 2019 to June 2020,70 patients who underwent general anesthesia surgery were selected.We observed their agitation during the anesthesia resuscitation period.Results:The incidence of restlessness in ear,nose and throat surgery was the highest,followed by thoracic surgery,breast surgery,gynecological surgery,orthopedic surgery,and abdominal surgery.Pain was the main factor leading to restlessness during anesthesia recovery,followed by urethral intubation,psychological stimulation,and improper immobilization and other factors.Conclusion:The main factors that induce restlessness during anesthesia recovery period in patients undergoing general anesthesia are pain,urethral intubation,etc.,and the type of operation,anesthesia method,postoperative analgesia or not and the use of analeptic are also the reasons for inducing restlessness.