全麻患者麻醉恢复期躁动多因素logistic回归分析

来源 :医学临床研究 | 被引量 : 0次 | 上传用户:sodoil
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【目的】探讨全麻患者麻醉恢复期躁动(emergence agitation ,EA)的危险因素。【方法】选取本院行全麻手术的896例患者,对其术后发生EA的危险因素进行单因素及多因素logistic回归分析。【结果】896例全麻手术患者中,发生EA 99例,EA发生率为110.5%(99/896);经单因素分析显示,性别、年龄、ASA分级、术中补液、术后镇痛、放置导尿管时间、低氧、PACU停留时间与EA呈明显相关( P <00.5);经多因素Logistics回归分析结果显示,年龄、术后镇痛是保护因素,ASA分级、放置导尿管时间、低氧是独立危险因素。【结论】EA与多种因素有关,其中年龄、术后镇痛、ASA分级、放置导尿管时间、低氧是EA的独立影响因素,临床应加以重视。“,”Objective]To explore the risk factors of emergence agitation (EA) of patients in anesthesia recov‐ery period[.Methods]896 patients underwent anesthesia in our hospital were selected .The risk factors of EA were analyzed by single factor analyzing mode and multi‐factor Logistic regression analysis mode[.Results] Of 896 cases in patients underwent general anesthesia ,EA occurred in 99 cases ,and the EA incidence rate was 11 0.5% ;Single factor analysis showed that sex ,age ,ASA classification ,intraoperative fluid replacement and postoperative anal‐gesia ,time of catheter placement ,hypoxia and PACU residence time were significantly correlated with EA ( P <0 0.5);The results of Logistics regression analysis showed that age and postoperative analgesia were protective fac‐tors ,and the ASA classification ,the time of catheter placement and hypoxia were independent risk factors .[Con‐clusion] EA is related to many factors ,among which age ,postoperative analgesia ,ASA grading ,catheter time and hypoxia are the independent influencing factors and needs to be stressed clinically .
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