患儿麻醉苏醒期躁动预测模型的系统 评价

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Systematic review of predictive models for anesthesia emergence agitation in children PENGYaxin，LIAOYuexia*

School of Nursing& School of Public Health，Yangzhou University，Jiangsu 225oo9 China *Corresponding Author LIAO Yuexia，E-mail： yxliao @ yzu.edu.cn

AbstractObjective：Tosystematicallysearchandevaluateriskpredictionmodelsforanesthesiaemergenceagitation（EA）inchilden， and provideareferenceforclinical selectionof appropriaterisk assessmenttools.Methods：WesystematicallysearchedEMbase， PubMed，Webof Science，Cochrane Library，CINAHL，CNKI，VIP，CBM，nd WanfangData forstudiesonpediatricemergence agitatioriskpredictionmodelsfromdatabaseinceptiontoMay1，O25.Researchersscreeedliteratureacordingtoinclusionnd exclusioncriteriaandindependentlyperfoeddataextraconandqualityasessmentusingiskofiasassessmenttolsResults：Atotal f8articleswereincuded，involving4riskpredictionmodelsfanestesiaEAincdren.Tesamplesizerangedfromto54776 cases，andtheAUCfromO.72toO.97.Commonpredictorsintheincludedmodels includedage，postoperativepain，andsurgical procedure.The8studiesshowedgoodoverallapplicabilityutallhadariskofbias.Thisiskprimarilystemmedfromfactorssuchas smallsamplesizes，unreportedprocessngofissngdate，modelselection，andmodelvalidation.Conclusion：Thriskprediction models foranestesiaEAinchldrengenerallexhibitsgoodaplicability，calibration，anddiscrimination，utalsoasmethodological limitations and a risk of bias.

Keywordspediatricsurgicalchilden;emergenceagitatio;prediction;iskasesent;systematicevie;evidencebasednursing

患儿麻醉苏醒期躁动（emergenceagitation，EA）是指手术患儿在麻醉苏醒期出现的一种意识、认知及行为异常的综合征1-3，患儿表现为哭闹、烦躁、不配合、无目的性动作等，甚至会发生拔除导管、自伤等严重行为，增加术后监护难度与风险，还可能给病人及其家属带来心理创伤和术后焦虑，发生率为 20%～ 80%11，4] 。（剩余11205字）