摘要
目的调查门诊无痛胃肠镜检查患者术后疲劳综合征(POFS)发生情况,分析危险因素,提出干预对策。方法选取158例行无痛胃肠镜检查患者,根据术后是否发生POFS分为POFS组(34例)与非POFS组(124例),采用多因素logistic回归分析危险因素,并讨论干预对策。结果本研究中出现POFS的患者34例(21.52%),POFS组患者疲劳程度:轻微22例(64.71%)、轻度8例(23.53%)、中度3例(8.82%)、重度1例(2.94%)。男性、当日候诊时长为POFS发生的保护因素(OR分别=0.53、0.56,P均<0.05),丙泊酚平均用量多(按麻醉时间)、诱导前后心率变化率高均为POFS发生的相关危险因素(OR分别=3.16、3.48,P均<0.05)。结论门诊无痛胃肠镜检查患者术后POFS发生率较低。丙泊酚平均用量多、诱导前后心率变化率高是门诊无痛胃肠镜检查发生POFS的危险因素,男性、当日候诊时间长为发生POFS的保护因素。
Objective To investigate the occurrence of postoperative fatigue syndrome(POFS)in patients undergoing painless gastrointestinal endoscopy in department of outpatient and its risk factors,and put forward the intervention countermeasures.Methods Totally 158 patients undergoing painless gastrointestinal endoscopy were selected.According to whether POFS occurred or not,the patients were divided into POFS group(n=34)and non-POFS group(n=124).Multivariate logistic regression analysis was used to analyze the risk factors for POFS,and the intervention countermeasures were discussed.Results In this study,there were 34 patients(21.52%)with POFS,including 22 slightly mild cases(64.71%),8 mild cases(23.53%),3 moderate cases(8.82%)and 1 severe cases(2.94%).Male gender and waiting time on the day were protective factors for the POFS(OR=0.53,0.56,P<0.05),and high average dosage of propofol(according to anesthesia time)and high heart rate change rate before and after induction were risk factors for the POFS(OR=3.16,3.48,P<0.05).Conclusion The incidence rate of POFS was low in patients after painless gastrointestinal endoscopy in department of outpatient.High average dosage of propofol and high heart rate change rate before and after induction are risk factors for POFS after painless gastrointestinal endoscopy in department of outpatient,and male gender and long waiting time on the day are protective factors for POFS.
作者
余少敏
朱艳艳
YU Shaomin;ZHU Yanyan(Department of Endoscopy Center,Wenzhou Central Hospital,Wenzhou 325000,China)
出处
《全科医学临床与教育》
2022年第6期493-496,共4页
Clinical Education of General Practice
关键词
无痛胃肠镜检查
门诊手术
术后疲劳综合征
危险因素
干预对策
painless gastrointestinal endoscopy
outpatient surgery
postoperative fatigue syndrome
risk factors
intervention countermeasures
