CAJ | 학술논문

目的筛选全麻病人麻醉恢复期躁动的危险因素.方法择期全麻手术病人1034例,性别不限,年龄18 ～ 89岁.根据麻醉恢复期是否发生躁动,将病人分为非躁动组和躁动组.记录年龄、性别、合并症、受教育程度、病史、ASA分级、术前用药、全麻方法、手术种类、术中补液量、麻醉时间、手术时间、术中出血量、尿量、PACU停留时间和术后引流管数量等.将组间差异有统计学意义的因素进行多因素logistic回归分析,筛选麻醉恢复期的危险因素.结果 36例病人麻醉恢复期发生躁动,发生率为3.5％.logistic回归分析结果显示:ASA分级高、术前用药使用地西泮、麻醉诱导未使用咪达唑仑及术中补液程度高是麻醉恢复期躁动的危险因素(P＜0.05).结论 ASA分级高、术前用药使用地西泮、麻醉诱导未使用咪达唑仑及术中补液程度高是全麻病人麻醉恢复期躁动的危险因素.
목적 사선전마병인마취회복기조동적위험인소.방법 택기전마수술병인1034례,성별불한,년령18 ～ 89세.근거마취회복기시부발생조동,장병인분위비조동조화조동조.기록년령、성별、합병증、수교육정도、병사、ASA분급、술전용약、전마방법、수술충류、술중보액량、마취시간、수술시간、술중출혈량、뇨량、PACU정류시간화술후인류관수량등.장조간차이유통계학의의적인소진행다인소logistic회귀분석,사선마취회복기적위험인소.결과 36례병인마취회복기발생조동,발생솔위3.5％.logistic회귀분석결과현시:ASA분급고、술전용약사용지서반、마취유도미사용미체서륜급술중보액정도고시마취회복기조동적위험인소(P＜0.05).결론 ASA분급고、술전용약사용지서반、마취유도미사용미체서륜급술중보액정도고시전마병인마취회복기조동적위험인소.
Objective To determine the risk factors for emergence agitation (EA) during the recovery period after general anesthesia.Methods One thousand and thirty-four patients of both sexes aged 18-89 yr undergoing general anesthesia were divided into EA group and non-EA group.EA occurring during recovery from general anesthesia was assessed by using Riker sedation-agitation scale.Age,sex,complication,education,medical history,ASA physical status,type and duration of anesthesia and operation,volume of blood loss,fluid replacement,urine volume,duration of stay in PACU,number of drainage tubes and so forth were recorded.Multivariate logistic regression was used to analyze the risk factors for the occurrence of EA.Results Thirty-six patients developed EA during recovery from anesthesia.The incidence of EA was 3.5 ％.Logistic regression indicated that high risk operation,premedication with diazepam,induction of anesthesia without midazolom and fluid replacement during operation were the risk factors for EA (P ＜ 0.05).Conclusion High-risk operation,premedication with diazepam,induction of anesthesia without midazolom and fluid replacement during operation are the risk factors for EA during recovery from general anesthesia.