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目的:对小儿手术患者全身麻醉苏醒期躁动的危险因素进行分析。方法:对420例小儿麻醉患者通过镇静躁动分级法在其苏醒的情况下进行相应的评分,将4分以下的儿童排除在外,然后再对剩下170例患者的病例以及相应的麻醉病例通过不同因素进行分析,进而寻找小儿全身麻醉苏醒期躁动的有关危险因素。结果:在单因素环境下,如手术史、手术的大小以及手术后的镇痛等与躁动的发生存在一定的关系(P<0.05);在多因素环境下,如年龄、手术前的焦虑、手术后的疼痛等与躁动的发生存在一定的关系(P<0.05);但是,在性别、性格、手术时间等与躁动的发生没有关系(P<0.05)。结论:对于小儿麻醉患者来讲,手术前的焦虑、学龄前儿童、导尿管的留置等一系列因素,都会使患者手术后发生躁动的概率明显增加。
Objective: To analyze the risk factors of restlessness in general anesthesia during pediatric surgery. METHODS: Forty-two children with pediatric anesthesia were assessed for their wakefulness by sedation and agitation grading, with exclusion of children less than 4 and subsequent discrepancies between the remaining 170 patients and the corresponding narcotic cases Factor analysis, and then find the pediatric general anesthesia wake up agitation related risk factors. Results: In single factor environment, such as the history of surgery, the size of the operation and postoperative analgesia, there was a certain relationship with the occurrence of agitation (P <0.05); in multiple factors such as age, preoperative anxiety, There was a certain relationship between postoperative pain and agitation (P <0.05). However, gender, personality, operation time and other factors had no relation with agitation (P <0.05). Conclusion: For children with pediatric anesthesia, preoperative anxiety, pre-school children, urinary catheter indwelling and a series of other factors, will make patients with postoperative agitation probability increased significantly.