Analysis on factors interfering the agitation of patients with partial hepatectomy during recovery from general anesthesia

SUN Lin; et al

doi:10.13406/j.cnki.cyxb.2010.11.025

您当前的位置：

首页 >

文章列表页 >

Analysis on factors interfering the agitation of patients with partial hepatectomy during recovery from general anesthesia

更新时间：2024-01-17

- Analysis on factors interfering the agitation of patients with partial hepatectomy during recovery from general anesthesia
- Journal of Chongqing Medical University Vol. 35, Issue 11, Pages: 1751-1753(2010)
- 作者机构：
  
  重庆医科大学附属第一医院麻醉科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.11.025
  CLC： R614.2
- Published：2010，
扫描看全文
[1]孙琳,郭媛媛,陈星菊,朱儒红,闵苏.全麻行肝叶切除患者麻醉恢复期躁动的影响因素分析[J].重庆医科大学学报,2010,35(11):1751-1753.

SUN Lin, et al. Analysis on factors interfering the agitation of patients with partial hepatectomy during recovery from general anesthesia. [J]. Journal of Chongqing Medical University 35(11):1751-1753(2010)
[1]孙琳,郭媛媛,陈星菊,朱儒红,闵苏.全麻行肝叶切除患者麻醉恢复期躁动的影响因素分析[J].重庆医科大学学报,2010,35(11):1751-1753. DOI： 10.13406/j.cnki.cyxb.2010.11.025.

SUN Lin, et al. Analysis on factors interfering the agitation of patients with partial hepatectomy during recovery from general anesthesia. [J]. Journal of Chongqing Medical University 35(11):1751-1753(2010) DOI： 10.13406/j.cnki.cyxb.2010.11.025.

摘要

目的:分析全麻行肝叶切除患者麻醉恢复期躁动的影响因素。方法:回顾我院2009年1～12月择期行肝叶切除的全麻患者93例

年龄（54.01±11.86）岁

体重（59.21±9.25）kg

ASA分级Ⅰ～Ⅱ级。根据Riker镇静-躁动分级分成两组

即躁动组（Riker 5～7级）

平静合作组（Riker 3～4级）。采用Logistic回归分析法

分析全麻行肝叶切除患者麻醉恢复期躁动的影响因素。结果:93例患者中躁动组患者20例

占21.51%

全麻行肝叶切除患者麻醉恢复期躁动的主要影响因素有手术前血小板含量、手术后谷草转氨酶（Aspartate aminotransferase

AST）含量、手术后白蛋白及谷丙转氨酶（Alanine aminotransferase

ALT）含量、动脉血二氧化碳分压及术后镇痛。结论:全麻行肝叶切除患者麻醉恢复期躁动受多种因素影响

主要包括围术期患者肝功能变化、动脉血二氧化碳分压情况及术后镇痛等。

Abstract

Objective:To analyze the factors interfering the agitaion of patients with partial hepatectomy during recovery from general anesthesia.Methods:To analyze retrospectively the material about 93 cases of patients with partial hepatectomy

aged 54.01±11.86

weighted(59.21±9.25) kg and graded ASAⅠ～Ⅱ grade in our hospital from January to December in 2009.Patients were divided into two groups according to Riker sedation-restlessness grade.Binary logistic regression was used in analyzing factors interfering the agitaion of patients with partial hepatectomy during recovery from general anesthesia

including general condition of patients

preoperative complications

special circumstance during operative

anesthesia time

the amount of fluid intake and output

blood gas analysis in PACU

postoperative analgesia

preoperative and postoperative albumin

total bilirubin

alanine aminotransferase(ALT) and aspartate aminotransferase(AST) changes and so on.Results:The incidence of emergence agitation in patients with partial hepatectomy was 21.51%.The main factors interfering the agitaion of patients with partial hepatectomy during recovery from general anesthesia were the platelet level before surgery

ASTlevels after surgery

post-operative albumin and ALT levels

carbon dioxide partial pressure of arterial blood and post-operative analgesia.Conclusion:Emergence agitation in patients with partial hepatectomy during recovery from general anesthesia was interfered by many factors

mainly including changes of perioperative liver function

carbon dioxide partial pressure of arterial blood and postoperative analgesia and so on.

关键词

麻醉恢复期肝切除术全麻躁动因素分析

Keywords

Anesthesia recoveryhepatectomyGeneral anesthesiaAgitationfactor analysis

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Potential predictor of MRI peritumoral features in prognosis for colorectal liver metastases after non-anatomical hepatectomy

Risk factors analysis for enteral feeding intolerance in traumatic patients

Clinical observation of hemostatic effection of microporous polysaccharide hemispheres on residual liver after hepatectomy

The value of enteral immunonutrition in therapeutic hepatectomy for patients with primary liver cancer

Survival analysis of primary gastric non-Hodgkin lymphoma

Related Author

Zhou Yin

Li Qingshu

Xie Lianghua

Mao Yun

Liu Liu

Zhu Jingci

Liang Zeping

Yang Wenqun

Related Institution

Department of Radiology

Teaching and Research Section of Pathology，College of Basic Medical Sciences，Chongqing Medical University

Teaching and Research Section of Basic Nursing, School of Nursing, Third Military Medical University

Intensive Care Unit, Daping Hospital, Third Military Medical University

Department of Hepatobiliary Surgery, Daping Hospital & the Field Surgery Research Institute, the Third Military Medical University

⁰