109906
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
实时脑状态参数与全身麻醉下儿童龋齿手术后苏醒期躁动的相关性分析：探究与牙科相关的因素影响
Authors Li L, Meng Q, Tian A, Hao Z, Zhang W
Received 14 July 2025
Accepted for publication 17 October 2025
Published 19 November 2025 Volume 2025:18 Pages 7049—7057
DOI https://doi.org/10.2147/IJGM.S549599
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Woon-Man Kung
Lin Li,1 Qinghua Meng,1 Aiping Tian,1 Ziwei Hao,2 Weizhi Zhang1
1Department of Anesthesiology, Shanxi Provincial Children’s Hospital, Taiyuan, Shanxi Province, People’s Republic of China; 2Catheter Room, Shanxi Cardiovascular Hospital, Taiyuan, Shanxi Province, People’s Republic of China
Correspondence: Weizhi Zhang, Department of Anesthesiology, Shanxi Provincial Children’s Hospital, No. 13 Xinmin North Street, Taiyuan City, Shanxi Province, 030001, People’s Republic of China, Tel +86 15234155563, Email weizhi96zhang@163.com
Objective: To analyse the correlation between real-time cerebral state index (CSI) and postoperative emergence agitation (EA) in children undergoing surgery for decayed teeth during recovery from general anaesthesia, and to explore the feasibility of CSI in predicting EA during perioperative care.
Methods: A retrospective case-control study was performed for paediatric patients who underwent radical surgery for decayed teeth under general anaesthesia at the Stomatology Outpatient Department of the Children’s Hospital of Shanxi from January 2022 to December 2022. According to the presence or absence of EA in children during recovery from general anaesthesia, the enrolled patients were divided into two groups: the agitation group (Group A) and the non-agitation group (Group NA). All paediatric patients were monitored for CSI using a combined-type multifunctional monitor of HXD-I Multi-parameter Monitor after the induction of tracheal intubation under intravenous anaesthesia.
Results: There were 16 cases (40%) of EA among the affected children. At post-extubation (T6), the subcortical excitability index (SCEi) (95[71– 99] vs 46[15– 78]), cortical excitability index (CEi) (45[34– 77] vs 32[10– 49]) and anxiety index (ANXi) (49[41– 58] vs 41[30– 49]) of Group A were significantly higher than those of Group NA, while memory index (Mi) (10[8– 14] vs 12[9– 14]) was smaller than in the latter group, with statistically significant differences between groups (P< 0.05). Additionally, as shown in the receiver operating characteristic curve, at T6, the area under the curve of SCEi, CEi, ANXi and Mi in predicting EA separately was 0.762, 0.771, 0.709 and 0.711, with sensitivity of 82.9%, 87.0%, 84.3% and 63.6%, and specificity of 70.4%, 43.5%, 46.8% and 77.2%, respectively.
Conclusion: Post-extubation SCEi, CEi, ANXi and Mi were significantly associated with EA occurrence in children undergoing decayed tooth surgery under general anaesthesia, with SCEi and ANXi showing relatively better predictive performance.
Keywords: cerebral state index, children, surgery for decayed teeth, emergence agitation, nursing
1Department of Anesthesiology, Shanxi Provincial Children’s Hospital, Taiyuan, Shanxi Province, People’s Republic of China; 2Catheter Room, Shanxi Cardiovascular Hospital, Taiyuan, Shanxi Province, People’s Republic of China
Correspondence: Weizhi Zhang, Department of Anesthesiology, Shanxi Provincial Children’s Hospital, No. 13 Xinmin North Street, Taiyuan City, Shanxi Province, 030001, People’s Republic of China, Tel +86 15234155563, Email weizhi96zhang@163.com
Objective: To analyse the correlation between real-time cerebral state index (CSI) and postoperative emergence agitation (EA) in children undergoing surgery for decayed teeth during recovery from general anaesthesia, and to explore the feasibility of CSI in predicting EA during perioperative care.
Methods: A retrospective case-control study was performed for paediatric patients who underwent radical surgery for decayed teeth under general anaesthesia at the Stomatology Outpatient Department of the Children’s Hospital of Shanxi from January 2022 to December 2022. According to the presence or absence of EA in children during recovery from general anaesthesia, the enrolled patients were divided into two groups: the agitation group (Group A) and the non-agitation group (Group NA). All paediatric patients were monitored for CSI using a combined-type multifunctional monitor of HXD-I Multi-parameter Monitor after the induction of tracheal intubation under intravenous anaesthesia.
Results: There were 16 cases (40%) of EA among the affected children. At post-extubation (T6), the subcortical excitability index (SCEi) (95[71– 99] vs 46[15– 78]), cortical excitability index (CEi) (45[34– 77] vs 32[10– 49]) and anxiety index (ANXi) (49[41– 58] vs 41[30– 49]) of Group A were significantly higher than those of Group NA, while memory index (Mi) (10[8– 14] vs 12[9– 14]) was smaller than in the latter group, with statistically significant differences between groups (P< 0.05). Additionally, as shown in the receiver operating characteristic curve, at T6, the area under the curve of SCEi, CEi, ANXi and Mi in predicting EA separately was 0.762, 0.771, 0.709 and 0.711, with sensitivity of 82.9%, 87.0%, 84.3% and 63.6%, and specificity of 70.4%, 43.5%, 46.8% and 77.2%, respectively.
Conclusion: Post-extubation SCEi, CEi, ANXi and Mi were significantly associated with EA occurrence in children undergoing decayed tooth surgery under general anaesthesia, with SCEi and ANXi showing relatively better predictive performance.
Keywords: cerebral state index, children, surgery for decayed teeth, emergence agitation, nursing