Relationship between emergence agitation during recovery from general anesthesia and postoperative cognitive dysfunction
10.3760/cma.j.issn.0254-1416.2013.01.007
- VernacularTitle:全麻患者麻醉恢复期躁动与术后认知功能障碍的关系
- Author:
Yi CHEN
;
Changwei WEI
;
Yijin YU
;
Xinli NI
;
Lize XIONG
- Publication Type:Journal Article
- Keywords:
Psychomotor agitation;
Anesthesia recovery period;
Cognition disorders;
Postoperative complications
- From:
Chinese Journal of Anesthesiology
2013;(1):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the relationship between emergence agitation (EA) during recovery from general anesthesia and postoperative cognitive dysfunction (POCD).Methods Two hundred and eighty ASA Ⅰ or Ⅱ patients,aged 18-70 yr,weighing 52-80 kg,undergoing elective surgery,were included.Anesthesia was induced with midazolam,fentanyl,propofol and cisatracurium.The patients were tracheal intubated and mechanically ventilated.Anesthesia was maintained with remifentanil,propofol and cisatracurium.EA was assessed at 15-40 min after extubation by using Post-operative Quality Recovery Scale and the cognitive function was assessed at day 1 before operation and days 1-7 after operation.Patients were divided into POCD or nonPOCD group according to the occurrence of POCD.The general data of patients,preoperative complications and types of surgery were recorded.If there was significant difference between the 2 groups,the factor was analyzed using multi-factor logistic regression to select the risk factor for incidence of POCD.Results The incidence of POCD was 40.7 ％.The results of logistic regression analysis showed that the dangerous degree of the risk factors for POCD in order from high to low were emergence agitation,duration of anesthesia and age.Conclusion EA during recovery from general anesthesia is an independent risk factor for POCD.
