[1]张小霓△,张丽虹,林财珠.不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响[J].郑州大学学报(医学版),2012,(02):262.
　ZHANG Xiaoni,ZHANG Lihong,LIN Caizhu.Influence of different patterns of general anesthesia maintainance on incidence of emergence agitation in patients scheduled for gastrointestinal surgery[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(02):262.
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不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年02期
页码:
262
栏目:
应用研究
出版日期:
2012-03-20

文章信息/Info

Title:
Influence of different patterns of general anesthesia maintainance on incidence of emergence agitation in patients scheduled for gastrointestinal surgery
作者:
张小霓△; 张丽虹; 林财珠
福建医科大学附属第一医院麻醉科 福州 350005
Author(s):
ZHANG Xiaoni; ZHANG Lihong; LIN Caizhu
Department of Anesthesiology, the First Affiliated Hospital, Fujian Medical University, Fuzhou 350005
关键词:
异丙酚; 七氟醚; 全身麻醉; 苏醒期躁动
Keywords:
propofol;  sevoflurane;  general anesthesia;  emergence agitation
分类号:
R614.2
摘要:
目的：探讨不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响。方法：择期胃肠外科手术患者160例，相同麻醉方案诱导后，分为4组(每组40例)，A组全凭静脉麻醉；B1和B2组静吸复合麻醉，B1组手术结束前停止吸入麻药时间≤25 min，B2组手术结束前停止吸入麻药时间>25 min；C组全凭吸入麻醉（术毕间断吸除机械无效腔气体）。记录手术时间、麻醉维持时间和苏醒期躁动发生率。结果：4组手术时间和麻醉维持时间比较，差异均无统计学意义（F=0.498和0.870，P>0.05）。4组躁动发生率相比，差异有统计学意义（χ2=18.824,P<0.001），其中B1组躁动发生率高于其他3组（P<0.008）。结论：全凭静脉麻醉，全凭吸入麻醉及静吸复合麻醉、停止吸入麻药到手术结束时间>25 min者躁动发生率低，麻醉医师可根据患者情况选择适合的麻醉维持方式。
Abstract:
Aim: To observe the influence of different patterns of general anesthesia(GA) maintainance on incidence of emergence agitation(EA) in patients scheduled for gastrointestinal surgery.Methods:A total of 160 patients scheduled for gastrointestinal surgery were allocated into four groups,40 in each group,and induced with the same anesthesia prescription.Group A maintained GA with total intravenous anesthesia；group B1 and B2,with combined intravenous and inhalation anesthesia:for group B1,the inhalation stop to operation end was controlled within 25 min,and for group B2,which was controlled over 25 min；group C maintained GA with total inhalation(the mechanical invalid cavity gas was exhausted after operation discontinously). The surgical duration, anesthesia time and EA incidence were recorded.Results:The operation duration and anesthesia time among the four groups had no statistical significance (F=0.498,0.870,P>0.05),while the EA incidence existed significant difference (χ2=18.824,P<0.001),among which,the EA incidence in group B1 was higher than those in the other 3 groups(P<0.008).Conclusion:The incidences of EA for total intravenous anesthesia,total inhalation,and combined intravenous and inhalation anesthesia with early stop of inhalation are low,and can be chosen accordingly.

参考文献/References:

［1］鲍杨, 史东平, 封卫征. 全麻苏醒期患者躁动的研究进展［J］. 临床麻醉学杂志, 2010, 26(2): 183
［2］Riker RR, Picard JT, Fraser GL. Prospective evaluation of the SedationAgitation Scale for adult critically ill patients［J］.Crit Care Med, 1999, 27(7):1325
［3］金允淑, 马虹. 全凭静脉与吸入全身麻醉苏醒期躁动发生率的临床观察［J］. 辽宁医学杂志, 2007, 21(2): 62
［4］Cole JW, Murray DJ, Mcallister JD, et al. Emergence behavior in children: defining the incidence of excitement and agitation following anaesthesia［J］. Paediatr Anaesth, 2002, 12(5): 442
［5］Zhang Y,Eger EI 2nd,Dutton RC,et al.Inhaled anesthetics have hyperalgesic effects at 0.1 minimum alveolar anesthetic concentration［J］.Anesth Analg，2000,91(2)：462
［6］Galinkin JL, Fazi LM, Cuy RM, et al. Use of intranasal fentanyl in children undergoing myringotomy and tube placement during halothane and sevoflurane anesthesia［J］. Anesthesiology, 2000, 93(6): 1378
［7］赵连英, 类维富, 吴小鹏. 不同氧流量对上腹部手术全身麻醉患者苏醒期的影响［J］. 中国现代普通外科进展, 2009, 12(1): 42
［8］Cohen IT, Finkel JC, Hannallah RS, et al. Rapid emergence does not explain agitation following sevoflurane anaesthesia in infants and children: a comparison with propofol ［J］. Paediatr Anaesth, 2003, 13(1):63

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备注/Memo

备注/Memo:
△女，1960年6月生，本科，主任医师，副教授，研究方向：麻醉与重症监护，Email:xianhaohao1622@163.com
更新日期/Last Update: 1900-01-01