全麻术后患者苏醒期躁动发生情况及影响因素分析

Analysis of Restlessness and its Influencing Factors in Patients after General Anesthesia

目的:统计全麻术后患者苏醒期躁动(EA)的发生率,并分析其影响因素。方法:本研究为回顾性研究,分析2021年5月~2021年6月期间我院收治的204例全麻手术患者的临床资料,采用躁动-镇静程度量表(RASS)评分评价患者术后是否发生EA,观察全麻术后患者EA发生率,并根据患者术后是否发生EA进行分组,采用logistic回归分析其影响因素。结果:204例患者中有47例发生EA,发生率为23.04%,纳为EA组,剩余的157例未发生EA,纳为非EA组。EA组、非EA组在性别、全麻方式、术前用药、苏醒时间方面对比差异无统计学意义(P>0.05)。EA组、非EA组在年龄、手术类型、手术时间、留置胃管/导尿管、麻醉时间、美国麻醉医师协会(ASA)分级、术后镇痛、术后疼痛方面对比差异有统计学意义(P<0.05)。logistic回归分析结果显示,年龄≥50岁、手术类型为妇科手术或泌尿外科手术、留置胃管/导尿管、ASA分级为Ⅱ级、术后疼痛是EA发生的危险因素,而术后镇痛是EA发生的保护因素(P<0.05)。结论:年龄、手术类型、留置胃管/导尿管、ASA分级、术后疼痛、术后镇痛是全麻术后患者EA发生的影响因素,临床需重点关注并给予相应防控措施。

Objective:The incidence of emergence agitation(EA)after general anesthesia was counted,and its influencing factors were analyzed.Methods:This study is a retrospective study,The clinical data of 204 patients undergoing general anesthesia in our hospital from May 2021 to June 2021 were analyzed.According to the agitation sedation scale(RASS)score,the patients were evaluated whether EA occurred.The incidence of EA after general anesthesia was observed,and the patients were divided into groups according to whether EA occurred after operation.The influencing factors were analyzed by logistic regression.Results:Among 204 patients,47 cases developed EA,the incidence rate was 23.04%,which was included in EA group,and the remaining 157 cases did not develop EA,which was included in non EA group.There were no significant differences between EA group and non-EA group in gender,general anesthesia method,preoperative medication and awakening time(P>0.05).There were statistically significant differences between the EA group and the non-EA group in age,operation type,operation time,indurated gastric tube/catheter,anesthesia time,American Society of Anesthesiologists(ASA)grade,postoperative analgesia and postoperative pain(P<0.05).The results of logistic regression analysis showed that age greater than or equal to 50 years old,operation type of gynecological surgery or urological surgery,indurated gastric tube/catheter,ASA grade wasⅡ,postoperative pain were risk factors for the EA occurred,and postoperative analgesia was a protective factor for the EA occurred(P<0.05).Conclusion:Age,operation type,indurated gastric tube/catheter,ASA grade,postoperative pain and postoperative analgesia are the influencing factors of EA occurred,which need to be paid close attention to and corresponding prevention and control measures should be given.