摘要
目的观察经尿道等离子前列腺剜除术全麻患者苏醒期寒颤的影响因素。方法回顾性分析2019年1月至2020年10月四川大学华西医院收治112例经尿道等离子前列腺剜除术全麻患者资料。根据患者苏醒期寒颤发生情况并将其分成发生组(18例)和未发生组(94例)。比较两组一般资料,并经单项与多因素logistic回归分析找出苏醒期寒颤发生的影响因素。结果两组的体重指数、手术时间、疼痛程度及术后体温比较,差异有统计学意义(P<0.05);经单项与多元logistic回归分析检验结果显示,中重度疼痛及术后体温<36℃、手术时间长均是经尿道等离子前列腺剜除术全麻患者苏醒期寒颤发生的独立危险因素(OR=15.439、10.846、1.172,P<0.05)。高体重指数是经尿道等离子前列腺剜除术全麻患者苏醒期寒颤发生的保护因素(OR=0.749,P<0.05)。结论体重指数、疼痛及术后体温、手术时间是经尿道等离子前列腺剜除术全麻患者苏醒期寒颤发生的影响因素。
Objective To observe the influencing factors of shivering during recovery period in patients with transurethral enucleation of prostate under general anesthesia.Methods The data of 112 patients undergoing transurethral enucleation of prostate under general anesthesia in West China Hospital,Sichuan University from January 2019 to October 2020 were retrospectively analyzed.According to the occurrence of shivering of patients during recovery period,patients were divided into occurrence group(18 cases)and non-occurrence group(94 cases).The general data of the two groups were compared,and the influencing factors of the occurrence of shivering during recovery period were found by single and multiple logistic regression analysis.Results There were statistically significant differences in body mass index,operation time,pain degree,and postoperative body temperature between the two groups(P<0.05).Single and multiple logistic regression analysis showed that moderate to severe pain,postoperative body temperature<36℃and long operation time were independent risk factors for the occurrence of shivering during recovery period in patients with transurethral enucleation of prostate under general anesthesia(OR=15.439,10.846,1.172,P<0.05).High body mass index was a protective factor for the occurrence of shivering during recovery period in patients with transurethral enucleation of prostate under general anesthesia(OR=0.749,P<0.05).Conclusion Body mass index,pain,postoperative temperature,and operation time are the influential factors for the occurrence of shivering during recovery period in patients with transurethral enucleation of prostate under general anesthesia.
作者
万勤
罗励莉
殷小容
WAN Qin;LUO Lili;YIN Xiaorong(Department of Anesthesiology,West China Hospital,Sichuan University,Sichuan Province,Chengdu610000,China;West China School of Nursing,Sichuan University,Sichuan Province,Chengdu610000,China)
出处
《中国医药导报》
CAS
2021年第25期103-106,共4页
China Medical Herald
关键词
经尿道等离子前列腺剜除术
全身麻醉
苏醒期
寒颤
手术时间
疼痛
体重指数
体温
Transurethral enucleation of prostate
General anesthesia
Recovery period
Shivering
Operation time
Pain
Body mass index
Body temperature
