摘要
目的研究全身麻醉术后呼吸相关不良事件影响因素。方法 13346例全身麻醉术后返回恢复室患者按有无发生呼吸系统并发症分为呼吸系统并发症组(615例)和非呼吸系统并发症组(12731例)。记录性别、基础疾病,气道管理类型、是否疼痛、术中镇静药物类型、是否术后拮抗,通过双向无序卡方分析检验危险因素。年龄、手术类型、手术时间、ASA分级、BMI分级、肌松药物剂量、术中入量、术中尿量、术中出血量、术中输血量采用秩和检验筛选是否有统计学意义,然后采用卡方检验两两比较,选出有统计学意义的变量。通过Logistic回归分析方法检验危险因素。结果年龄>60岁的患者为首要因素(OR:3.23,95%CI:2.45~4.25),其次为BMI>30 kg/m^2(OR:2.03,95%CI:1.58~2.61),年龄在40~60岁之间(OR:1.99,95%CI:1.54~2.56);其余影响因素权重比较相同:ASAⅡ级(OR:1.48,95%CI:1.23~1.76),ASAⅢ级(OR:1.56,95%CI:1.07~2.29),手术时间大于4小时(OR:1.50,95%CI:1.14~1.97),术后疼痛(OR:1.67,95%CI:1.27~2.19)。结论年龄、ASA分级、体重指数、手术时间、术后疼痛为呼吸系统并发症的独立危险因素。患者年龄大于40岁,手术时间大于4小时,术后疼痛均可增加术后呼吸系统并发症的发生率。
Objective To investigate the risk factors for postoperative critical respiratory events（CREs）.Method A total of 13346 patients undergoing general anesthesia in postanesthesia care unit（PACU） after surgery were devided into CREs group and no CREs group.Basic information of patient,history of patient,intraoperative anesthetics,intraoperative fluid intake,operative site,postoperative complications were recorded.Results;There were significant differences in age,ASA physical status,Body Mass Index（BMI）,operative time,and postoperative pain were the independent risk factor for CREs（P〈0.05）.Conclusion Age40y,operative time〉4 hours,interior body operation and postoperative pain increase the incidence of CREs.
作者
黄勇
张金华
王戡
李成辉
HUANG Yong ZHANG Jin-hua KAN Wang IA Cheng-hui(Department of Anesthesiology, China-Japan Friendship Hospital, Beijing 100029, China Department of Anesthesiology, Dongfang Hospital, Belting University of Chinese Medicine, Beijing 100078, China)
出处
《中国临床医生杂志》
2016年第12期29-32,共4页
Chinese Journal For Clinicians
关键词
全身麻醉
呼吸
相关不良事件
General anesthesia
Respiratory
Critical respiratory events
