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Influencing factors of recovery agitation during general anesthesia in patients with advanced gastric cancer |
YANG Shasha WU Yanfei▲#br# |
Department of Anesthesiology, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China
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Abstract Objective To observe the occurrence of recovery agitation during general anesthesia in patients with advanced gastric cancer, and to analyze its influencing factors. Methods The clinical data of 125 patients with advanced gastric cancer who received general anesthesia in the First Affiliated Hospital of Xinjiang Medical University from March 2021 to March 2022 were analyzed. According to the occurrence of recovery agitation during general anesthesia, they were divided into agitation group and non-agitation group. The related factors affecting the occurrence of recovery agitation during general anesthesia in patients with advanced gastric cancer were analyzed. Results Recovery agitation occurred in 31 of 125 patients with advanced gastric cancer during general anesthesia. The proportion of anxiety, diabetes mellitus, and laparotomy, and visual analogue scale (VAS) score in recovery period were higher than those in the non-agitation group, and the proportion of patients with compound epidural block and Dexmedetomidine was lower than that in non-agitation group, and the differences were statistically significant (P<0.05). Anxiety, diabetes, laparotomy, and VAS score in recovery period were risk factors for recovery agitation during general anesthesia in patients with advanced gastric cancer (OR>1,P<0.05); compound epidural block and Dexmedetomidine were protective factors for recovery agitation during general anesthesia in patients with advanced gastric cancer (OR<1,P<0.05). Conclusion Anxiety, diabetes, laparotomy, VAS score in recovery period, compound epidural block, and Dexmedetomidine are influencing factors.
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