【摘要】：目的:研究兒童全身麻醉后蘇醒期與臨床相關因素間的關系,為兒童術后躁動的預防提供依據。方法:回顧性分析就診于山西省兒童醫(yī)院的行全身麻醉的患兒876例,觀察組為全麻術后發(fā)生躁動的患兒53例,對照組為未發(fā)生躁動的患兒823例,采用logistic回歸分析方法研究全身麻醉蘇醒期躁動是否與性別、年齡、手術史、手術前的焦慮狀況、手術時間的長短、手術的規(guī)模、手術過后的疼痛狀況、術后留置尿管、蘇醒時間的長短相互關聯。結果:患兒全身麻醉蘇醒期躁動組和非躁動組在性別、手術史、手術時間的長短、手術的規(guī)模、蘇醒時間的長短無統(tǒng)計學差異(P0.05)。最終進入Logistic回歸模型的危險因素為年齡、手術的規(guī)模、術后疼痛。而手術規(guī)模的大小可能在患兒全麻術后躁動的發(fā)生中與其他因素有相互協(xié)同作用。結論:年齡、術后疼痛、留置導尿管是兒童全身麻醉蘇醒期躁動的獨立危險因素。手術規(guī)模的大小可能與其他因素相互協(xié)同作用。
[Abstract]:Objective: to study the relationship between recovery period and clinical factors after general anesthesia in children, and to provide evidence for prevention of postoperative restlessness in children. Methods: a retrospective analysis was made on 876 children undergoing general anesthesia in Shanxi Children's Hospital, 53 children in observation group and 823 children in control group who had no restlessness after general anesthesia. Logistic regression analysis was used to study whether restlessness during general anesthesia was associated with sex, age, history of operation, anxiety before operation, duration of operation, scale of operation, pain after operation, indwelling urethral catheter after operation. The length of waking time is related to each other. Results: there was no significant difference in sex, operation history, length of operation time, operation scale and recovery time between restless group and non-restless group during general anesthesia (P0.05). The risk factors for final entry into the Logistic regression model were age, size of operation and postoperative pain. The size of the operation may be synergistic with other factors in the occurrence of restlessness after general anesthesia in children. Conclusion: age, postoperative pain and indwelling catheter are independent risk factors of restlessness during general anesthesia in children. The size of the operation may be synergistic with other factors.
【作者單位】： 山西省兒童醫(yī)院;
【分類號】：R726.1

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