呼吸内镜术后不良事件的危险因素及预防对策  

Risk and preventive measures of adverse events after respiratory endoscopic surgery

作　　者：秦方毅 王婷[1] 韦丽娜[1] 

机构地区：[1]首都医科大学附属北京天坛医院呼吸内科,北京100050

出　　处：《西部医学》2016年第12期1704-1706,共3页Medical Journal of West China

基　　金：北京市科技攻关项目(20109101009)

摘　　要：目的探讨呼吸内镜术后不良事件的危险因素及其预防对策。方法选取2013年4月～2016年4月期间在我院诊治的107例呼吸内镜手术病人作为研究对象，分析其性别、年龄、既往病史、ASA级别、手术时间、术前呼吸道感染等资料，并进行Logistic回归分析。结果107例内镜手术病人中，不良事件总发生率为21．50％；单因素分析显示，年龄、高血压、吸烟史、麻醉效果、手术时间、术前呼吸道感染与呼吸道内镜术后不良事件的发生有关系（均P〈0．05）；多因素分析显示，年龄≥60岁、麻醉效果不佳、手术时间〉15min、术前呼吸道感染均是呼吸内镜术后不良事件的独立危险因素（均P〈0．05）。结论呼吸内镜术后有一定的可能会发生不良事件，年龄≥60岁、麻醉效果不佳、手术时间〉15min、术前呼吸道感染是呼吸内镜术后不良事件的独立危险因素。Objective To study the risk and preventive measures of adverse events after respiratory endoscopic surgery. Methods From April 2013 and April 2016, 107 patients conducted respiratory endoscopic surgery in our hospital were selected as the research object. Results In 107 patients with endoscopic sinus surgery, the overall incidence of adverse events was 21.50%. In univariate analysis, age, hypertension, smoking history, anesthesia, operative time, preoperative respiratory infections and respiratory tract endoscopic are related to postoperative adverse events （P〈 0.05）. In multivariate analysis, age ≥60 years, poor anesthesia, operative time〉 15min, preoperative respiratory infection are independent risk factors for adverse events after respiratory endoscopic surgery （P〈0.05）. Conclusion Adverse events after respiratory endoscopic surgery may occur. Age ≥60 years, poor anesthesia, operative time〉15min, preoperative respiratory tract infection are independent risk factors for adverse events after respiratory endoscopic surgery.

关 键 词：呼吸内镜 不良事件 危险因素 

分 类 号：R56[医药卫生—呼吸系统]