《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (06): 701-705.

• 特稿 • 上一篇    下一篇

脑性瘫痪患儿全麻苏醒延迟的影响因素

韩长河 1，王增春 2,3，王强 2,3   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-25 发布日期:2015-06-25

Factors Related with Prolonged Anesthesia Recovery in Patients with Cerebral Palsy after General Anesthesia

HAN Chang-he1, WANG Zeng-chun2,3, WANG Qiang2,3   

  1. 1.Department of Anesthesiology, Beijing Social Welfare Hospital, Beijing 100085, China; 2. Capital Medical University School of Rehabilitation, Beijing 100068, China; 3. Department of Anesthesiology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-25 Online:2015-06-25

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被引次数

4

摘要： 目的 探讨导致脑瘫患儿全麻苏醒延迟的因素。方法 回顾从2009年7月~2014年8月在全麻下接受下肢矫形术的脑瘫患儿 293例的临床资料并对相关因素进行分析。结果 37例(12.6%)患儿存在全麻苏醒延迟，单因素分析(χ2检验)显示与体重、ASA分级、静脉通路建立方式、出血量、辅助硬膜外麻醉、术中吸入麻醉药、发生不良事件有关(P<0.05)；多因素非条件Logistic分析显示，ASA 分级(B=1.490)、发生不良事件(B=2.159)和辅助硬膜外麻醉(B=-1.487)对全麻苏醒延迟产生影响(P<0.05)。结论全麻苏醒延迟可能是多种因素的综合结果，全麻辅助硬膜外麻醉有助于脑瘫全麻患儿的苏醒。

关键词: 脑性瘫痪, 全身麻醉, 苏醒延迟

Abstract: Objective To explore the factors related with prolonged anesthesia recovery (PAR) in patients with cerebral palsy after general anesthesia. Methods 293 patients with cerebral palsy who received lower limbs orthopedics (LLO) under general anesthesia during July, 2009 to August, 2014 were retrospected and the factors related to PAR were analyzed. Results 37 patients (12.6%) suffered from PAR. There was significant difference in factors including body-weight, grade of physical status for anesthesia according to American Association of Anesthesiologists (ASA), the style to set a venous channel, blood loss, general anesthesia combined with epidural anesthesia (GAEA), intra-operative inhalation anesthetics, and serious adverse events (SAE) between patients with or without PAR, according to single factor analysis with chi-square test. It was significant that the factors of ASA grade (B=1.490), SAE (B=2.159) and GAEA (B=-1.487) according to non-conditional logistic analysis. Conclusion PAR is related to several factors and GAEA combined with general anesthesia contributes to the recovery of patients with cerebral palsy.

Key words: cerebral palsy, general anesthesia, prolonged anesthesia recovery