目的 探讨腹腔镜手术全凭吸入麻醉、静吸复合麻醉与苏醒期躁动（emergence agitation，EA）的关系。方法 纳入择期行腹腔镜胆囊切除术的患者70例，据随机数据表法分为两组，分别采用全凭吸入麻醉和静吸复合麻醉，并于术后30分钟时点采用镇静躁动分级法对患者苏醒状况进行评分，比较不同麻醉方式下EA的发生率。结果 两组患者年龄、性别、体重、术中镇痛药使用量无显著差异(P > 0.05)。静吸复合麻醉组患者苏醒期躁动的发生率显著低于全凭吸入麻醉组（21.9% vs 48.5%, P<0.05)。 结论 腹腔镜胆囊切除术采用静吸复合麻醉较全凭吸入麻醉苏醒期躁动的发生率低。
Objective To compare the incidence of emergence agitation between intravenous-inhalation combined anesthesia and total inhalation anesthesia in patients undergoing laparoscopic surgery. Methods Seventy patients of 18 to 80 years old were divided into intravenous-inhalation combined anesthesia group and total inhalation anesthesia group respectively. The level of emergence agitation was scored by sedation-agitation scale 30 minutes after surgeries. Use SPSS 18.0 to analyze. Results There was no significantly difference in different groups on age, sex, weight and pain medicine used (P > 0.05). The incidence of agitation in patients used intravenous-inhalation combined anesthesia was significantly lower than total inhalation anesthesia (21.9% vs 48.5%, P<0.05). Conclusion Intravenous-inhalation combined anesthesia is better than total inhalation anesthesia in reducing the incidence of agitation in patients undergoing laparoscopic surgery.
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