【Abstract】 Objective To explore the clinical diagnostic efficacy of Aldrete score, Steward score and Observer's Assessment of Alterness/Sedation (OAA/S) score in delayed recovery after general anesthesia in patients undergoing daytime thoracoscopic surgery. Methods Choose between January 2020 and June 2021 in Shanghai Pulmonary Hospital daytime thoracoscope surgery under general anesthesia, 600 cases of patients, according to the decision to extend the time delays, divided into the awakening time delay group (n=200) and the awakening time not delay group (n=400), using the single factor analysis of thoracoscope surgery patients regained consciousness in the day time delay in the differences of clinical data, multivariate logistic regression analysis was used to analyze the influencing factors of recovery time delay in patients undergoing daytime thoracoscopic surgery. Aldrete score, Steward score and OAA/S score were used to evaluate the recovery situation of 600 patients, and the difference of recovery time score between the awakening time delay group and the awakening time not delay group was compared. Receiver operating characteristic (ROC) curve was drawn to analyze the clinical efficacy of Aldrete score, Steward score and OAA/S score in evaluating the recovery time delay of patients undergoing amboscope thoracoscopic surgery. Results There were significant differences in age, hypothermia, hypotension, hypoglycemia, hypercapnia, operation time and blood loss (P<0.001). Hypoglycemia, hypotension, blood loss ≥200 ml, operation time ≥4 h, hypercapnia, age ≥60 years, and hypothermia are risk factors for delayed recovery time in patients undergoing ambulatorthoracoscopic surgery. Compared with the awakening time not delay group, the Aldrete score, Steward score, and OAA/S score of patients in the awakening time delay group were significantly lower (P<0.05). The area under curve（AUC） of Aldrete score, Steward score and OAA/s score were 0.966, 0.855 and 0.720. Conclusions Hypoglycemia, hypotension, blood loss ≥200 ml, operation time≥4 h, hypercapnia, age≥60 years, and hypothermia are risk factors for postoperative wake‑up delay in patients undergoing thoracoscopic surgery under general anesthesia. Aldrete score has higher clinical efficacy in evaluating wake‑up time after anesthesia than the Steward score and OAA/S score.