麻醉前焦虑状态对全麻下胃癌根治术患者苏醒期躁动发生的影响

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (499 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the influence of anxiety state before anesthesia on agitation during the recovery period of patients with radical gastrectomy under general anesthesia. Methods The clinical data of 100 patients who underwent radical gastrectomy for gastric cancer in No.82 Military Hospital of Chinese People’s Liberation Army Ground Force from January 2020 to January 2021 were analyzed. All patients received general anesthesia, the anxiety state of all patients before anesthesia were assessed, and the occurrence of agitation during the recovery period in all patients was counted, according to the occurrence of agitation, they were divided into occurrence group and non-occurrence group. At the same time, the baseline data questionnaire was designed, the effect of anxiety state before anesthesia on emergence agitation of patients with radical gastrectomy under general anesthesia was analyzed by univariate and multivariate analysis. Results Among the 100 patients with radical gastrectomy under general anesthesia, nine patients developed agitation during the recovery period, with an incidence of 9%. There were statistically significant differences in diabetes mellitus and anxiety between two groups (P < 0.05). Logistic regression analysis showed that diabetes mellitus and anxiety were the influential factors of agitation in patients underwent radical gastrectomy under general anesthesia (OR > 1, P < 0.05). Conclusion Patients with radical gastrectomy under general anesthesia have a higher risk of agitation during recovery, which may be affected by anxiety state before anesthesia.

Key words： Radical gastrectomy General anesthesia Recovery period Anxiety Agitation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Zhijuan1 WU Yanhong2 WANG Huise3

Cite this article:

WU Zhijuan1 WU Yanhong2 WANG Huise3. Influence of anxiety state before anesthesia on agitation during the recovery period of patients with radical gastrectomy under general anesthesia[J]. 中国医药导报, 2021, 18(28): 125-128.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I28/125

[1] Kim JC，Kim J，Kwak H，et al. Premedication with dexmedetomidine to reduce emergence agitation：a randomized controlled trial [J]. BMC Anesthesiol，2019，19（1）：144.
[2] 袁振武，杨昌明，王龙.右美托咪定用于小儿麻醉对血流动力学及对苏醒期躁动和术后疼痛的影响[J].中国医药导报，2018，15（7）：94-97，106.
[3] An LJ，Zhang Y，Su Z，et al. A single dose of dezocine suppresses emergence agitation in preschool children anesthetized with sevoflurane-remifentanil [J]. BMC Anesthesiol，2017，17（1）：154.
[4] Komazaki M，Mihara T，Nakamura N，et al. Preventive effect of ramelteon on emergence agitation after general anaesthesia in paediatric patients undergoing tonsillectomy：a randomised，placebo-controlled clinical trial [J]. Sci Rep，2020，10（1）：21996.
[5] 李冰，胡成文，韦琦，等.胃癌根治术后化疗患者恐惧疾病进展的影响因素分析[J].安徽医学，2020，41（3）：61-63.
[6] Sun R，Zhao Z，Feng J，et al. Glucocorticoid-Potentiated Spinal Microglia Activation Contributes to Preoperative Anxiety-Induced Postoperative Hyperalgesia [J]. Mol Neurobiol，2017，54（6）：4316-4328.
[7] Daabiss M. American Society of Anaesthesiologists physical status classification [J]. Indian J Anaesth，2011，55（2）：111-115.
[8] 李文志，姚尚龙.麻醉学[M].北京：人民卫生出版社，2018：169.
[9] Khan BA，Guzman O，Campbell NL，et al. Comparison and Agreement Between the Richmond Agitation-Sedation Scale and the Riker Sedation-Agitation Scale in Evaluating Patients’ Eligibility for Delirium Assessment in the ICU [J]. Chest，2012，142（1）：48-54.
[10] 中国老年学和老年医学学会心脑血管病专业委员会，中国医师协会心血管内科医师分会.老年高血压的诊断与治疗中国专家共识（2017版）[J].中华内科杂志，2017，56（11）：885-893.
[11] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2017年版）[J].中国实用内科杂志，2018，38（4）：292-344.
[12] Samakouri M，Bouhos G，Kadoglou M，et al. Standardization of the Greek version of Zung’s Self-rating Anxiety Scale（SAS）[J]. Psychiatriki，2012，23（3）：212-220.
[13] 张振，罗辉宇，刘颖，等.纳布啡对老年患者全麻苏醒期应激反应和躁动的影响[J].中国新药与临床杂志，2017，36（12）：740-743.
[14] 赵玉，吕德珍，滕成玲.依达拉奉联合帕瑞昔布钠对腔镜辅助下胃癌根治术麻醉苏醒期躁动的影响[J].安徽医药，2019，23（3）：175-178.
[15] Lee SJ，Choi SJ，In CB，et al. Effects of tramadol on emergence agitation after general anesthesia for nasal surgery：A retrospective cohort study [J]. Medicine，2019， 98（10）：e14763.
[16] Jee YS，You HJ，Sung TY，et al. Effects of nefopam on emergence agitation after general anesthesia for nasal surgery [J]. Medicine，2017，96（47）：e8843.
[17] 周楠，张美芬，袁京燕，等.全麻术后患者苏醒期发生躁动的现状及影响因素分析[J].护理学报，2017，19（24）：51-55.
[18] 李玉洁，陈燕勤，金素琴，等.小儿全身麻醉苏醒期躁动的相关因素分析[J].中国妇幼保健，2020，35（11）：90-93.
[19] 昝望，潘鑫，熊苗苗，等.术前高度焦虑相关致痛因子的变化及其对术后疼痛的影响[J].临床麻醉学杂志，2018， 34（8）：42-46.
[20] 吴佳腾，崔晓光.小儿全身麻醉苏醒期躁动的研究进展[J].实用药物与临床，2017，20（3）：357-360.
[21] Ask A，Nko A，Hya B，et al. The effects of music on anxiety and pain in patients during carotid endarterectomy under regional anesthesia：A randomized controlled trial-Science Direct [J]. Complement Ther Med，2019，44：94-101.
[22] 张弦，潘守东，马旭波，等.咪达唑仑经鼻喷雾用于幼儿术前焦虑的疗效评价[J].儿科药学杂志，2017，23（5）：7-9.
[23] 马丽.小儿术前右美托咪定与咪达唑仑滴鼻用药效果的比较[J].中国药物与临床，2017，17（7）：1029-1030.
[24] 张兴聪.去甲肾上腺素对丙泊酚全身麻醉诱导期间血液动力学影响[J].医药前沿，2018，8（5）：119-120.
[25] 许碧香，黄惠榕，危椠罡，等.全麻患者苏醒期躁动影响因素的Meta分析[J].中国现代医生，2021，59（14）：1-6，11.
[26] 陆有明.右美托咪定联合喷他佐辛对老年患者全麻苏醒期躁动及血流动力学的影响[J].中国当代医药，2020， 27（13）：114-117.
[27] 姜淇.浅析导致接受全身麻醉后的患者发生苏醒期躁动的危险因素[J].当代医药论丛，2020，18（9）：28-30.