摘要
目的降低麻醉苏醒室内全身麻醉患者术后低氧血症发生率,提高患者苏醒质量。方法以择期手术的1028例全身麻醉患者为对象,监测、记录其术后转入麻醉苏醒室的血氧饱和度及基本信息、术中麻醉情况、各项检验指标等。进行回归分析,并建立全身麻醉患者术后低氧血症发生率的预测模型。结果21.79%患者发生低氧血症,回归分析显示年龄≥70岁、体重指数≥25、ASA分级Ⅱ级及以上、胸部手术是患者发生低氧血症的危险因素(均P<0.05)。结论麻醉苏醒室术后患者低氧血症的发生率较高,高龄、肥胖、ASA分级Ⅱ级及以上及胸部手术患者应进行重点关注,以降低患者低氧血症发生率。
Objective To reduce the incidence of hypoxemia in patients after general anesthesia in the post anesthesia care unit(PACU),and to enhance the quality and safety of anesthetic care.Methods A total of 1,028 patients undergoing elective surgery under general anesthesia were studied and their oxygen saturation values,basic information,intraoperative anesthesia and laboratory indicators were recorded.Risk factors for postoperative hypoxemia were determined by logistic regression analysis and a prediction model was identified.Results The prevalence of hypoxemia in the PACU was 21.79%.The age of 70 years or older,body mass index of 25 or more,American Society of Anesthesiologists Physical Status Classification(ASA)score ofⅡor greater,and thoracic surgery were risk factors for hypoxemia(P<0.05 for all).Conclusion The prevalence of hypoxemia in the PACU is relatively high.Patients with advanced age,obesity,ASA score ofⅡor greater,and receiving thoracic surgery should be paid more attention.
作者
陈赟
赵晶
张军
王昕
Chen Yun;Zhao Jing;Zhang Jun;Wang Xin(Department of Anesthesiology,Cancer Hospital,Fudan University,Shanghai 200032,China)
出处
《护理学杂志》
CSCD
北大核心
2022年第13期26-29,共4页
Journal of Nursing Science
关键词
麻醉苏醒室
全身麻醉
低氧血症
体重指数
ASA分级
血氧饱和度
影响因素
护理对策
post anesthesia care unit
general anesthesia
hypoxemia
body mass index
American Society of Anesthesiologists physical status classification score
oxygen saturation
influencing factor
nursing care
