麻醉前焦虑状态对全麻下胃癌根治术患者苏醒期躁动发生的影响

Influence of anxiety state before anesthesia on agitation during the recovery period of patients with radical gastrectomy under general anesthesia

目的分析麻醉前焦虑状态对全麻下胃癌根治术患者苏醒期躁动发生的影响。方法分析2020年1月至2021年1月中国人民解放军陆军第八十二集团军医院行胃癌根治术治疗的100例患者的临床资料。所有患者均采用全麻,麻醉前评估所有患者的焦虑状况,并统计所有患者苏醒期躁动发生情况,根据是否发生躁动分为发生组和未发生组。同时设计基线资料调查表,经单因素及多因素分析麻醉前焦虑状况对全麻下胃癌根治术患者苏醒期躁动发生的影响。结果100例全麻下胃癌根治术患者中有9例在苏醒期发生躁动,发生率为9%。两组合并糖尿病、焦虑状况比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,合并糖尿病、焦虑是全麻下胃癌根治术患者苏醒期躁动发生的影响因素(OR>1,P<0.05)。结论全麻下胃癌根治术患者苏醒期躁动发生风险较高,可能受麻醉前焦虑状况影响。

Objective To analyze the influence of anxiety state before anesthesia on agitation during the recovery period of patients with radical gastrectomy under general anesthesia.Methods The clinical data of 100 patients who underwent radical gastrectomy for gastric cancer in No.82 Military Hospital of Chinese People’s Liberation Army Ground Force from January 2020 to January 2021 were analyzed.All patients received general anesthesia,the anxiety state of all patients before anesthesia were assessed,and the occurrence of agitation during the recovery period in all patients was counted,according to the occurrence of agitation,they were divided into occurrence group and non-occurrence group.At the same time,the baseline data questionnaire was designed,the effect of anxiety state before anesthesia on emergence agitation of patients with radical gastrectomy under general anesthesia was analyzed by univariate and multivariate analysis.Results Among the 100 patients with radical gastrectomy under general anesthesia,nine patients developed agitation during the recovery period,with an incidence of 9%.There were statistically significant differences in diabetes mellitus and anxiety between two groups(P<0.05).Logistic regression analysis showed that diabetes mellitus and anxiety were the influential factors of agitation in patients underwent radical gastrectomy under general anesthesia(OR>1,P<0.05).Conclusion Patients with radical gastrectomy under general anesthesia have a higher risk of agitation during recovery,which may be affected by anxiety state before anesthesia.