|
|
|
| Occurrence and the influencing factors of the agitation during anesthesia recovery after laparoscopic total hysterectomy under general anesthesia |
| 1.The First People's Hospital of Huoqiu County, Lu 'an, Anhui Province, 237000; 2.The First Affiliated Hospital of University of Science and Technology of China, Hefei |
|
|
|
|
Abstract To analyze the occurrence and the influencing factors of the agitation during anesthesia recovery of patients after laparoscopic total hysterectomy(LTH) under general anesthesia. Methods: 86 patients with TLH under general anesthesia admitted to the hospital from January 2021 to January 2024 were collected and were divided into group A(patients with agitation during anesthesia recovery) and group B(patients without agitation during anesthesia recovery) based on whether the agitation occurred during anesthesia recovery or not. The differences of the relevant information of the patients were compared between the two groups. Logistic analysis was used to analyze the influencing factors of the agitation occurred of the patients during their anesthesia recovery. Results: In 86 patients, there were 18 cases with the agitation occurred during anesthesia recovery, with an incidence of 20.9%. There were significant differences in the ASA classification, the complication with diabetes, the nerve block rate, the anesthesia time, the operation time, the intraoperative hypothermia rate, the heat preservation management, the hypoxemia rate, the residual rate of muscle relaxation drug, the timing of indwelling catheter, the postoperative VAS score, the postoperative analgesia status and dexmedetomidine used of the patients between the two groups(P<0.05). There were no significant differences in the age, the body mass index value and the hypertension rate of the patients between the two groups(P>0.05). Logistic analysis showed that the complication with diabetes mellitus, the long time of anesthesia and operation time, the low temperature, the hypoxemia, the muscle relaxants residues and the high score of postoperative VAS of the patients were the risk factors of their agitation occurred during anesthesia recovery. The low ASA grade, the nerve block, the heat preservation management, the timing of indwelling catheter before, the postoperative analgesia used and the dexmedetomidine used of the patients were the protective factors of their the agitation occurred during anesthesia recovery(all P<0.05). Conclusion: The incidence of the agitation occurred during anesthesia recovery of the patients with LTH under general anesthesia is higher, and which has many influencing factors. It is suggested that the clinical preventive measures based on these influencing factors should be taken to reduce the incidence of the agitation occurred during anesthesia recovery and improve the safety of surgery of the patients.
|
|
|
|
|
|
|
|
|
