CAJ | 학술논문

目的：探讨麻醉恢复室（PACU）的成年患者全麻苏醒期躁动（EA）危险因素。方法选择进入 PACU 进行全麻苏醒的择期手术患者2056例，年龄大于18岁，性别不限，记录年龄、性别、体质量、ASA 分级、术前合并疾病、受教育程度、术前用药、全麻方式、诱导使用咪达唑仑、麻醉时间、手术部位、手术种类、手术时间、术中出血量、术中补液量、PACU 恢复时间、有无尿管、尿量、有无体温异常等。根据患者麻醉苏醒期是否发生躁动，分为安静组和躁动组。将组间差异有统计学意义的因素进行多因素 Logistic 回归分析，筛选麻醉苏醒期的危险因素。结果127例患者在 PACU 的麻醉苏醒期发生躁动，发生率为6．18％。Logistic 回归分析显示，ASA 分级高、术中补液量大、安置尿管和术后疼痛是 EA 的危险因素（P ＜0．05）。结论ASA 分级高、术中补液量大、安置尿管和术后疼痛是 EA 的危险因素。
목적：탐토마취회복실（PACU）적성년환자전마소성기조동（EA）위험인소。방법선택진입 PACU 진행전마소성적택기수술환자2056례，년령대우18세，성별불한，기록년령、성별、체질량、ASA 분급、술전합병질병、수교육정도、술전용약、전마방식、유도사용미체서륜、마취시간、수술부위、수술충류、수술시간、술중출혈량、술중보액량、PACU 회복시간、유무뇨관、뇨량、유무체온이상등。근거환자마취소성기시부발생조동，분위안정조화조동조。장조간차이유통계학의의적인소진행다인소 Logistic 회귀분석，사선마취소성기적위험인소。결과127례환자재 PACU 적마취소성기발생조동，발생솔위6．18％。Logistic 회귀분석현시，ASA 분급고、술중보액량대、안치뇨관화술후동통시 EA 적위험인소（P ＜0．05）。결론ASA 분급고、술중보액량대、안치뇨관화술후동통시 EA 적위험인소。
Objective To analyze the risk factors of emergence agitation (EA)in the adult patients during the recovery peri-od after general anesthesia in postanesthesia care unit(PACU).Methods 2 056 adult patients undergoing elective surgery under general anesthesia in PACU were selected,aged more than 18 years old,sex unlimited The following factors of age,gender,body mass,ASA grade,preoperative combined disease,education level,premedicatiou,general anesthesia mode,midazolam use for induc-tion,anesthesia time,operation site,operation mode,operation time,intraoperative blood loss,intraoperative fluid replacement,re-covery time in PACU,body temperature,urinary catheter,urine volume,etc.were recorded.According to whether EA occurring during recovery from general anesthesia,the patients were divided into the quiet group and the EA group.The multivariate Logistic regression was performed to analyze and screen the risk factors for the occurrence of EA.Results 127 cases developed EA during recovery from anesthesia.The occurrence rate of EA was 6.18%.The Logistic regression analysis indicated that high grade ASA, large quantity of intraoperative fluid replacement,placing urinary catheter and postoperative pain were the risk factors for EA(P <0.05).Conclusion Highgrade ASA,large quantity of intraoperative fluid replacement,placing urinary catheter and postoperative pain are the risk factors for EA during the recovery period after general anesthesia in PACU.