直肠癌患者全麻苏醒延迟的影响因素分析  

Analysis of influencing factors of delayed recovery of general anesthesia in patients with rectal cancer

作　　者：孙敏华[1] 廖礼平[1] Sun Minhua;Liao Liping(PACU of Anesthesiology Department,Xiangya Hospital of Central South University(Changsha City)410013)

机构地区：[1]中南大学湘雅医院麻醉科PACU(长沙),410013

出　　处：《中国社区医师》2017年第20期50-51,53,共3页Chinese Community Doctors

摘　　要：目的:探讨直肠癌患者术后苏醒延迟的影响因素。方法:回顾性分析126例行全麻下直肠癌根治术患者的麻醉复苏记录单及电子病历。结果:年龄、ASA分级、合并糖尿病、合并肝肾功能障碍、合并呼吸功能障碍、术中输液量、复合硬膜外麻醉对患者苏醒延迟有显著影响;年龄≥60岁、合并呼吸功能障碍、术中输液量≥3 000 m L为独立危险因素。结论:直肠癌手术患者苏醒延迟的相关影响因素有年龄≥60岁、合并呼吸功能障碍、术中输液量≥3 000 m L。Objective:To investigate the influencing factors of postoperative delayed recovery in patients with rectal cancer.Methods:We retrospectively analyzed126cases of patients with rectal cancer under general anesthesia anesthesia recoveryrecords and electronic medical records.Results:Age,ASA classification,combined with diabetes,liver and kidney dysfunction,combined with respiratory dysfunction,intraoperative infusion,combined epidural anesthesia had significant effects on therecovery delay.60years of age or older,with respiratory dysfunction,intraoperative transfusion volume of more than3000mL wereindependent risk factors.Conclusion:The factors influencing recovery in patients with rectal cancer surgery has age≥60years old,with respiratory dysfunction,intraoperative transfusion volume of more than3000mL.

关 键 词：直肠癌手术 苏醒延迟 LOGISTIC回归分析 

分 类 号：R614[医药卫生—麻醉学]