CAJ | 학술논문

目的：探讨腺样体切除手术全身麻醉患儿苏醒期躁动的影响因素。方法选取2012年1月～2013年12月于我科行腺样体切除术的103例患儿，对发生全麻苏醒期躁动的49例患儿的临床资料进行单因素和多因素logistic回归分析，评价耳鼻咽喉手术全麻患儿苏醒期躁动的影响因素。结果单因素分析显示患儿年龄、术前焦虑、麻醉维持方式、使用右美托咪啶、术后疼痛、术后镇痛与躁动的发生相关（P<0.05）。多因素分析显示患儿年龄<5岁、术前焦虑、全凭吸入七氟醚、使用右美托咪啶、术后疼痛与全麻苏醒期躁动发生相关（P<0.05）。结论耳鼻咽喉手术全身麻醉患儿年龄<5岁、术前焦虑、全凭吸入七氟醚、使用右美托咪啶及术后疼痛是苏醒期躁动的影响因素。
목적：탐토선양체절제수술전신마취환인소성기조동적영향인소。방법선취2012년1월～2013년12월우아과행선양체절제술적103례환인，대발생전마소성기조동적49례환인적림상자료진행단인소화다인소logistic회귀분석，평개이비인후수술전마환인소성기조동적영향인소。결과단인소분석현시환인년령、술전초필、마취유지방식、사용우미탁미정、술후동통、술후진통여조동적발생상관（P<0.05）。다인소분석현시환인년령<5세、술전초필、전빙흡입칠불미、사용우미탁미정、술후동통여전마소성기조동발생상관（P<0.05）。결론이비인후수술전신마취환인년령<5세、술전초필、전빙흡입칠불미、사용우미탁미정급술후동통시소성기조동적영향인소。
Objective To investigate the risk factors for emergence agitation following general anesthesia in children undergone otorhinolaryngologic surgery.Methods A total of 103 children undergoing otorhinolaryngologic surgery in our hospital was enrolled in this study from January 2012 to December 2013. Clinical data of 49 children with emergence agitation were analyzed with univariate and multivariate logistic regression to investigate risk factors for emergence agitation folowing general anesthesia in children undergone otorhinolaryngologic surgery.Results Univariate analysis revealed that age, preoperative anxiety, anesthesia maintenance method, use of dexmedetomidine, postoperative pain and postoperative analgesia were significantly correlated with the incidence of agitation (P<0.05). Multivariate analysis revealed that age<5 years old, preoperative anxiety, anesthesia maintenance with sevoflurane alone, use of dexmedetomidine and postoperative pain were related with agitation in these children (P<0.05).Conclusions In children undergoing otorhinolaryngologic surgery with general anesthesia, age<5 years old, preoperative anxiety, anesthesia maintenance with sevoflurane alone, use of dexmedetomidine and postoperative pain were associated with the high incidence of emergence agitation during anesthesia recovery period.