《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (5): 414-416.

• 论文 • 上一篇    下一篇

脑性瘫痪患者术后躁动的相关因素

刘海泉，王增春，王强，任自刚，熊巍   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院麻醉科，北京市100068。
  • 收稿日期:2013-11-13 修回日期:2014-01-02 出版日期:2014-05-25 发布日期:2014-05-25

Factors Related with Postoperative Agitation in Patients with Cerebral Palsy

LIU Hai-quan, WANG Zeng-chun, WANG Qiang, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Anesthesiology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2013-11-13 Revised:2014-01-02 Published:2014-05-25 Online:2014-05-25

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摘要： 目的探讨脑瘫患者术后躁动的原因。方法回顾分析199 例在静吸复合全麻下接受选择性后根切断术或下肢矫形术脑瘫患者的临床资料。结果术后30 例患者发生躁动(15%)，躁动组患者的年龄较小(P<0.05)、体重较轻(P<0.01)、单位时间及单位体重下所使用的镇痛药物较少(P<0.01)。结论术中及术后充分镇痛以及术前必要的心理干预及镇静药物可能会减少术后躁动的发生率。

关键词: 脑性瘫痪, 术后躁动, 疼痛

Abstract: Objective To explore the risk factors for postoperative agitation (PA) in patients with cerebral palsy (CP). Methods 199 patients with CP receiving selective posterior rhizotomy or lower limbs orthopedics under combined intravenous and inhalational anesthesia were reviewed. Results 30 patients suffered from PA (15%), who tended to be younger, less body mass, and administered less anesthetics.Conclusion It may prevent PA of sufficient intra-operative and postoperative analgesia, necessary psychological intervention and sedatives.

Key words: cerebral palsy, postoperative agitation, pain