CAJ | 학술논문

目的：探讨行腹股沟疝手术患儿全麻后苏醒期躁动( emergence agitation, EA )的危险因素。方法选择北京朝阳医院京西院区麻醉科2012年6月至2014年12月期间实施腹股沟疝手术的小儿患者521例,评估全麻后EA的发生率,观察患儿年龄、性别、既往手术史、患儿与家长分离行为、麻醉时间、手术时间、手术方式、苏醒时间与EA发生的关系。结果120例患儿发生了EA,发生率为23%。单因素分析发现,2~6岁年龄和难以与父母分开对全麻后EA的发生有影响。多因素Logistic分析结果显示,2~6岁年龄是EA发生的危险因素。结论2~6岁年龄是行腹股沟疝手术患儿全麻后EA发生的危险因素。
목적：탐토행복고구산수술환인전마후소성기조동( emergence agitation, EA )적위험인소。방법선택북경조양의원경서원구마취과2012년6월지2014년12월기간실시복고구산수술적소인환자521례,평고전마후EA적발생솔,관찰환인년령、성별、기왕수술사、환인여가장분리행위、마취시간、수술시간、수술방식、소성시간여EA발생적관계。결과120례환인발생료EA,발생솔위23%。단인소분석발현,2~6세년령화난이여부모분개대전마후EA적발생유영향。다인소Logistic분석결과현시,2~6세년령시EA발생적위험인소。결론2~6세년령시행복고구산수술환인전마후EA발생적위험인소。
Objective To investigate the risk factors associated with emergence agitation ( EA) in pediatrics after gen-eral anesthesia. Method A study was conducted in 521 pediatric patients, who received general anesthesia for the op-eration of inguinal hernia in west campus of Beijing Chao-yang hospital from June 2012 to December 2014. The inci-dence of EA was evaluated. And the relationship of age, sex, operation history, parental-separation behavior, anes-thesia time, operation time, operation method, awakening time and EA were assessed. Result One hundred and twen-ty children had EA, and the incidence was 23%. From univariate analysis, factors associated with EA were from 2 to 6 years old, and difficult parental-separation behavior. The multiple Logistic regression analysis showed only from 2 to 6 years old was significantly associated with EA. Conclusion The study indicated that age of 2 to 6 years was the pre-dictive factors of EA in pediatrics after general anesthesia receiving operation of inguinal hernia.