妇科全麻腹腔镜手术患者术后麻醉恢复期躁动的影响因素研究

摘要

目的 分析妇科全麻腹腔镜手术患者术后全麻苏醒期躁动(EA)的影响因素.方法 回顾性分析268例行妇科全麻腹腔镜手术患者的临床资料.结果 年龄大、高血压病史、糖尿病病史、诱导后放置导尿管、术前血小板计数高是妇科全麻腹腔镜手术患者术后EA的危险因素,术后镇痛、SPO2高是保护因素.结论 医务人员应针对EA发生的危险因素进行相应干预措施,防止EA的发生.%Objective To explore the influencing factors of emergence agitation (EA) in patients after gynecologic laparoscopic surgery under general anesthesia. Methods The clinical data of 268 patients undergoing gynecologic laparoscopic surgery under general anesthesia were retrospectively reviewed. Results Advanced age, hypertension history, diabetes history, catheter placement after induction, preoperative high platelet count were dangerous factors of EA after general anesthesia laparoscopic surgery. Postoperative analgesia and high level of SP2 were protective factors. Conclusion Medical personnel should take related intervention measures aiming directly at dangerous factors to prevent the occurrence of EA.