全麻手术患者术后麻醉恢复室转出延迟影响因素分析  

Analysis of Influencing Factors of PACU Transfer Delay after General Anesthesia Surgery

作　　者：钱芳 王树桂 吴红[1] 薛海霞[1] QIAN Fang;WANG Shu-gui;WU Hong(Department of Anesthesiology,Subei People’s Hospital,Yangzhou,Jiangsu,225001,China)

机构地区：[1]江苏省苏北人民医院麻醉科,江苏扬州225001 [2]扬州市妇幼保健院麻醉科,江苏扬州225002

出　　处：《黑龙江医学》2022年第10期1167-1170,共4页Heilongjiang Medical Journal

基　　金：江苏省苏北人民医院科研项目(yzucms202054)。

摘　　要：目的:分析全麻手术患者术后麻醉恢复室(PACU)转出延迟的影响因素。方法:选取江苏省苏北人民医院手术室全麻术后入PACU复苏的82例患者的基础资料作为研究对象,根据随机数表法,分为延迟组和未延迟组,每组各41例。观察其PACU复苏及延迟出PACU情况,分析延迟原因,明确影响转出延迟因素。结果:延迟组的年龄、麻醉时间、手术时间、术中输液量、术后VAS评分、术后PaCO;水平均高于未延迟组,差异有统计学意义(t=8.782、13.761、9.142、5.750、38.491、8.467,P<0.05);延迟组的术后体温、术后Hb水平低于未延迟组,差异有统计学意义(t=18.051、12.141,P<0.05)。PACU转出延迟主要发生于胸外科及普外科。年龄、并存病、疾病严重程度、ASA分级、是否术中心血管活性药物使用、尿量、丙泊酚用量、术中循环状态、围术期出血量、术后体温、术后VAS评分、麻醉后并发症发生与否均与PACU转出延迟呈显著相关,差异有统计学意义(χ^(2)=10.982、 12.518、 14.106、 8.249、 12.202、 5.991、 4.393、11.035、11.141、8.702、5.754、10.982,P<0.05);高龄、并存病、中重度病情、ASA分级Ⅲ~Ⅳ级、术中循环差、围术期出血量高、低尿量、低/高体温、术中未使用心血管活性药物、丙泊酚用量高、术后VAS评分≥6分、麻醉并发症为PACU转出延迟的独立影响因素。结论:高龄、并存病、中重度病情、ASA分级Ⅲ~Ⅳ级、术中循环差、围术期出血量高、低尿量、低/高体温、术中未使用心血管活性药物、丙泊酚用量高、术后VAS评分≥6分、麻醉并发症为PACU转出延迟的独立影响因素。Objective: To analyze the influencing factors of delayed transfer of postoperative anesthesia recovery unit(PACU) after general anesthesia operation. Methods: The basic data of 82 patients who were resuscitated in PACU after general anesthesia in hospital were selected as the research objects, and were divided into delayed group and non-delayed group according to the random number table method, with 41 cases in each group. The PACU resuscitation and delayed PACU delivery were observed, the reasons for the delay were analyzed, and the factors affecting the delayed delivery were identified. Results: The age, anesthesia time, operation time, intraoperative infusion volume, postoperative VAS score, and postoperative PaCO;level in the delayed group were higher than those in the non-delayed group, the difference was statistically significant(t=8.782, 13.761, 9.142, 5.750,38.491, 8.467, P<0.05). The postoperative body temperature and postoperative Hb level in the delayed group were lower than those in the non-delayed group, the difference was statistically significant(t=18.051, 12.141, P<0.05). Delayed PACU transfer occurred mainly in thoracic surgery and general surgery. Age, comorbidities, disease severity, ASA classification, use of intraoperative cardiovascular active drugs, urine volume, propofol dosage, intraoperative circulation status, perioperative blood loss, postoperative body temperature, postoperative VAS score, postoperative anesthesia occurrence of complications were significantly related to the delay of PACU transfer the difference was statistically significant(χ^(2)=10.982, 12.518, 14.106, 8.249, 12.202, 5.991, 4.393, 11.035,1.141, 8.702, 5.754, 10.982, P<0.05). Advanced age, comorbidities, moderate to severe disease, ASA class Ⅲ-Ⅳ, poor intraoperative circulation, high perioperative blood loss, low urine output, low/high body temperature, no use of cardiovascular active drugs during surgery, high dosage of propofol, postoperative VAS score ≥6 points, and anesthesia complications were the indepen

关 键 词：全麻手术 麻醉恢复室 转出延迟 影响因素 

分 类 号：R614[医药卫生—麻醉学]