Abstract：
OBJECTIVE: Emergence agitation (EA) is a frequent complication during emergence. The researchers aimed to investigate whether discharged pediatric patients from the postanesthesia care unit (PACU) to wards under sedated status could reduce the incidence of EA.
METHODS: Prospective randomized controlled study.
METHODS: This study was conducted in 4 to 6 year old patients who had undergone strabismus surgeries. There were 100 patients randomly assigned to a sedated group who were discharged from PACU to the ward under a sedated state and regained consciousness accompanied with their parents (Group P, n = 50) and the control group who were fully awake when discharged (Group C, n = 50). The primary outcome was the incidence of EA. The secondary outcomes included rescue measure, discharge time, hemodynamic parameters at the point of discharge, 1 and 2 hours after extubation, and the parental satisfaction score.
RESULTS: The incidence of EA in Group P was significantly reduced compared to Group C (P = .023). The number of patients who needed rescue measures was higher in Group C than in Group P (P = .041). The PACU discharge time in Group P was significantly shorter than in Group C (P < .001). The heart rate of the pediatric patients in Group P was significantly lower than in Group C at the point of discharge from PACU to the ward (P = .003), while the oxygen saturation (SpO2) and the mean arterial blood pressure were comparable between the two groups (P > .05).
CONCLUSIONS: Pediatric patients discharged to their parents under sedated status could reduce the incidence of EA undergoing strabismus surgery.
METHODS: Prospective randomized controlled study.
METHODS: This study was conducted in 4 to 6 year old patients who had undergone strabismus surgeries. There were 100 patients randomly assigned to a sedated group who were discharged from PACU to the ward under a sedated state and regained consciousness accompanied with their parents (Group P, n = 50) and the control group who were fully awake when discharged (Group C, n = 50). The primary outcome was the incidence of EA. The secondary outcomes included rescue measure, discharge time, hemodynamic parameters at the point of discharge, 1 and 2 hours after extubation, and the parental satisfaction score.
RESULTS: The incidence of EA in Group P was significantly reduced compared to Group C (P = .023). The number of patients who needed rescue measures was higher in Group C than in Group P (P = .041). The PACU discharge time in Group P was significantly shorter than in Group C (P < .001). The heart rate of the pediatric patients in Group P was significantly lower than in Group C at the point of discharge from PACU to the ward (P = .003), while the oxygen saturation (SpO2) and the mean arterial blood pressure were comparable between the two groups (P > .05).
CONCLUSIONS: Pediatric patients discharged to their parents under sedated status could reduce the incidence of EA undergoing strabismus surgery.
摘要：
目的：苏醒期躁动（EA）是苏醒期常见的并发症。研究人员旨在调查从麻醉后监护病房（PACU）到处于镇静状态的病房出院的儿科患者是否可以降低EA的发生率。
方法：前瞻性随机对照研究。
方法：本研究是在接受斜视手术的4至6岁患者中进行的。有100名患者随机分配到镇静组，这些患者在镇静状态下从PACU出院到病房，并在父母的陪同下恢复了意识（P组，n=50）和出院时完全清醒的对照组（C组，n=50)。主要结果是EA的发生率。次要结果包括救援措施，放电时间,放电点的血液动力学参数，拔管后1和2小时，和父母满意度得分。
结果：与C组相比，P组EA的发生率显着降低（P=0.023）。C组需要采取抢救措施的患者数量高于P组（P=0.041）。P组PACU出院时间明显短于C组(P<.001)。P组患儿从PACU出院时的心率明显低于C组(P=.003),两组血氧饱和度(SpO2)和平均动脉血压比较差异无统计学意义(P>0.05)。
结论：在镇静状态下出院的患儿可降低接受斜视手术的EA的发生率。
方法：前瞻性随机对照研究。
方法：本研究是在接受斜视手术的4至6岁患者中进行的。有100名患者随机分配到镇静组，这些患者在镇静状态下从PACU出院到病房，并在父母的陪同下恢复了意识（P组，n=50）和出院时完全清醒的对照组（C组，n=50)。主要结果是EA的发生率。次要结果包括救援措施，放电时间,放电点的血液动力学参数，拔管后1和2小时，和父母满意度得分。
结果：与C组相比，P组EA的发生率显着降低（P=0.023）。C组需要采取抢救措施的患者数量高于P组（P=0.041）。P组PACU出院时间明显短于C组(P<.001)。P组患儿从PACU出院时的心率明显低于C组(P=.003),两组血氧饱和度(SpO2)和平均动脉血压比较差异无统计学意义(P>0.05)。
结论：在镇静状态下出院的患儿可降低接受斜视手术的EA的发生率。
