右江医学2026，Vol.54Issue(8)：762-768,7.DOI:10.3969/j.issn.1003-1383.2026.08.006
退行性腰椎侧弯患者手术室苏醒期躁动的影响因素分析
Analysis of influencing factors on agitation during the recovery period of patients with degenerative lumbar scoliosis in the operating room
摘要
Abstract
Objective To observe the agitation during the recovery period of patients with degenerative lumbar scoliosis in the operating room,and to analyze the influencing factors of their agitation.Methods A prospective study was conducted on 156 patients with degenerative lumbar scoliosis who were scheduled to undergo surgical treatment in the hospital from Jan-uary 2022 to January 2025.After excluding 6 invalid cases,150 patients were ultimately included as study subjects.The Riker sedation agitation scale was used to evaluate the agitation during the recovery period of patients in the operating room and divided them into occurrence group and non occurrence group.A baseline data questionnaire was designed to statistically analyze the patient data,and differences in data between the two groups were compared.Logistic regression models were used to analyze the influencing factors of restlessness during the operating room recovery period in patients with degenerative lum-bar scoliosis.Results The incidence of agitation during the recovery period in the operating room was 16.67％(25/150)among 150 patients with degenerative lumbar scoliosis.After comparing data between groups,a logistic regression model was constructed for analysis.And the results showed that patient age,surgery time,intraoperative hypothermia,long-term history of opioid use before surgery,and intraoperative use of sevoflurane were all influencing factors for agitation during the recovery period of patients with degenerative lumbar scoliosis in the operating room(P＜0.05).The regression model of influencing factors was constructed:Logit(P)=-25.029+1.835×(age ≥ 60 years old)+0.108×(operation time)+1.583×(intraoper-ative hypothermia)+1.729×(intraoperative use of sevoflurane)+1.918 ×(preoperative long-term use of opioids).The ROC curve of the model showed that the area under the curve(AUC)for predicting agitation during the recovery period of patients in the operating room was 0.944(95％CI:0.891-0.997),which had certain predictive value.Conclusion Age,sur-gical duration,intraoperative hypothermia,intraoperative use of sevoflurane,and long-term history of preoperative opioid use are all influencing factors of emergence agitation in patients with degenerative lumbar scoliosis during the recovery period in the operating room.The regression model constructed based on these influencing factors has good predictive value.关键词
退行性腰椎侧弯/手术/苏醒期躁动/影响因素Key words
degenerative lumbar scoliosis/operation/agitation during the recovery period/influencing factors分类
医药卫生引用本文复制引用
张杰,梅伟..退行性腰椎侧弯患者手术室苏醒期躁动的影响因素分析[J].右江医学,2026,54(8):762-768,7.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20220889) （LHGJ20220889）
