麻醉后恢复室患者低氧血症发生率及高危因素的回顾性分析  

Incidence of hypoxemia in a post-anesthesia care unit and relevant risk factors

作　　者：张良燕[1] 唐帅[1] 张秀华[1] 韩伟[2] 薛杨[1] 田伊 黄宇光[1] ZHANG Liang-yan;TANG Shuai;ZHANG Xiu-hua;HAN Wei;XUE Yang;TIAN Yi;HUANG Yu-guang(Department of Anesthesiology, Peking Union Medical College Hospital,CAMS & PUMC, Beijing 100730;Department of Epidemiology and Health Statistics, Institute of Basic Medical Sciences CAMS, School of Basic Medicine PUMC, Beijing 100005, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730 [2]中国医学科学院基础医学研究所,北京协和医学院基础学院,流行病与卫生统计系,北京100005

出　　处：《基础医学与临床》2020年第9期1242-1246,共5页Basic and Clinical Medicine

摘　　要：目的研究麻醉后恢复室(PACU)患者低氧血症的发生情况,探寻可能的高危因素。方法收集相关临床数据,回顾性分析1年内PACU收治的14604例全身麻醉患者,对其低氧血症发生率和影响因素进行统计学分析。结果总低氧血症发生率为2.79%,多元回归分析显示年龄≥65岁、体质指数(BMI)≥25 kg/m^2、美国麻醉医师协会(ASA)分级Ⅱ级以上、四肢大手术和胸科手术后的患者发生低氧血症的风险明显增加。结论低氧血症是PACU内常见的并发症,年龄、BMI、ASA分级、手术部位与低氧血症发生密切相关。临床医生应关注高危患者,及时干预,减少PACU内低氧血症的发生。Objective To investigate the incidence and potential risk factors of postoperative hypoxemia in a post-anesthesia care unit(PACU).Methods The retrospective cohort assessed 14604 postoperative patients who were admitted to PACU in a period of one year.Clinical data were collected,the incidence and potential risk factors for postoperative hypoxemia were statistically analyzed.Results The incidence of hypoxemia was 2.79%.Multiple regression analysis indicated that the risk factors were age(≥65-year old),body mass index(BMI≥25),American Society of Anesthesiologists(ASA≥Ⅱ),limb surgery,and thoracic surgery.Conclusions Hypoxemia is common in postoperative patients in PACU.Age,BMI,ASA classification,and surgical site are associated with postoperative hypoxemia.Doctors should pay attention and give timely treatment to high-risk patients to prevent hypoxemia in PACU.

关 键 词：低氧血症 脉搏氧饱和度 麻醉后恢复室 

分 类 号：R614[医药卫生—麻醉学]