摘要
目的:分析腹腔镜肝癌根治术患者全身麻醉苏醒期躁动的相关因素。方法:回顾性分析2019年1月—2022年1月于柳州市人民医院接受腹腔镜肝癌根治术治疗的95例肝癌患者的相关临床资料。使用Riker镇静-躁动评分表(SAS)评价患者是否发生苏醒期躁动,比较苏醒期躁动与无苏醒期躁动患者一般资料,采用多因素Logistic回归分析苏醒期出现躁动的影响因素。结果:95例患者出现苏醒期躁动12例,无苏醒期躁动83例。苏醒期躁动与无苏醒期躁动患者术前1周吸烟、睡眠障碍、术前服用抗抑郁/焦虑药物、手术麻醉方式、体温保护、导尿管留置、手术时长、术中出血量、麻醉后监测治疗室(PACU)中疼痛数字评分(NRS)、复苏时长情况比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,术前1周吸烟、有睡眠障碍、术前服用抗抑郁/焦虑药物、吸入麻醉、未体温保护、有导尿管留置、手术时长、术中出血量、PACU中NRS评分、复苏时长均是苏醒期出现躁动的影响因素(P<0.001)。结论:全身麻醉苏醒期发生躁动由多种因素导致,针对高危人群需要做好相应防护工作,减少麻醉苏醒期躁动。
Objective:To analyze the related factors of agitation during recovery period from general anesthesia after laparoscopic radical resection of liver cancer.Methods:The clinical data of 95 patients with liver cancer who received laparoscopic radical hepatectomy in Liuzhou People's Hospital from January 2019 to January 2022 were retrospectively analyzed.Riker sedation agitation Scale(SAS)was used to evaluate whether the patient experienced agitation during the wake period.General data of agitation during the wake period and agitation without the wake period were compared,and the influencing factors of agitation during the wake period were analyzed by multivariate Logistic regression.Results:Of the 95 patients,there were 12 cases of waking agitation and 83 cases of non-waking agitation.smoking 1 week before surgery,sleep disorders,taking antidepressant/anxiety drugs before surgery,surgical anesthesia method,body temperature protection,catheter indwelling,surgery duration,intraoperative blood loss,Numerical Pain Score(NRS)in the post-anesthesia monitoring treatment room(PACU)and recovery time were compared between patients with and without agitation,the difference was statistically significant(P<0.05).Logistic regression analysis results showed that smoking 1 week before surgery,sleep disorders,taking antidepressant/anxiety drugs before surgery,inhalation anesthesia,no body temperature protection,indwelling urinary catheter,surgery duration,intraoperative blood loss,and NRS score in PACU,recovery duration were all influencing factors of agitation during the recovery period(P<0.001).Conclusion:There are multiple factors about the occurrences of agitation in the general anesthesia recovery stage.It is necessary to do corresponding protective work for high-risk groups to reduce agitation during anesthesia recovery.
作者
张岚
Zhang Lan(Liuzhou People's Hospital,Liuzhou 545006,Guangxi Zhuang Autonomous Region,China)
出处
《中外医药研究》
2023年第16期39-41,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-B20221353)。
关键词
全身麻醉
苏醒期
躁动
危险因素
General anesthesia
Awakening period
Agitation
Risk factor
