全身麻醉颈椎手术患者术后早期低氧血症发生的危险因素及改善措施分析  

Analysis of Risk Factors and Improvement Measures for Occurrence of Early Postoperative Hypoxemia in Patients with Cervical Spine Surgery Under General Anesthesia

作　　者：邹珉 姚爱军 林红艳 ZOU Min;YAO Aijun;LIN Hongyan(Department of Anesthesiology,Shenzhen Hospital of University of Chinese Academy of Sciences(Guangming),Shenzhen 518106,China)

机构地区：[1]中国科学院大学深圳医院(光明)麻醉科,广东深圳518106

出　　处：《临床医学工程》2022年第6期883-884,共2页Clinical Medicine & Engineering

摘　　要：目的 探讨全身麻醉颈椎手术患者术后早期低氧血症发生的危险因素与改善措施。方法 选取98例全身麻醉颈椎手术患者,分析术后早期低氧血症发生的危险因素与改善措施。结果 98例患者术后发生早期低氧血症42例,占比42.86%。单因素分析与多因素Logistic回归分析显示,年龄≥65岁、 BMI≥31 kg/m^(2)、有高血压、麻醉时间≥4 h、有TCSCI是全身麻醉颈椎手术患者术后发生早期低氧血症的独立危险因素(P<0.05)。结论 年龄≥65岁、 BMI≥31 kg/m^(2)、有高血压、麻醉时间≥4 h、有TCSCI是全身麻醉颈椎手术患者术后发生早期低氧血症的独立危险因素,临床需针对上述危险因素给予干预措施。Objective To explore the risk factors and improvement measures for occurrence of early postoperative hypoxemia in patients with cervical spine surgery under general anesthesia. Methods 98 patients with cervical spine surgery under general anesthesia were selected to analyze the risk factors and improvement measures for occurrence of early postoperative hypoxemia. Results Early postoperative hypoxemia occurred in 42 of 98 patients, accounting for 42.86%(42/98). Univariate analysis and multivariate Logistic regression analysis showed that age ≥ 65 years old, BMI ≥ 31 kg/m^(2), hypertension, anesthesia time ≥ 4 h, and TCSCI were independent risk factors for early postoperative hypoxemia in patients with cervical spine surgery under general anesthesia(P <0.05). Conclusions Age ≥ 65 years old, BMI≥ 31 kg/m^(2), hypertension, anesthesia time ≥ 4 h, and TCSCI are independent risk factors for early postoperative hypoxemia in patients with cervical spine surgery under general anesthesia. Clinical intervention measures should be given based on the above risk factors in clinic.

关 键 词：全身麻醉颈椎手术 术后早期低氧血症 危险因素 改善措施 

分 类 号：R619[医药卫生—外科学]