麻醉苏醒室患者术后低氧血症的危险因素分析及护理对策  

Risk factors for hypoxemia in patients in the post anesthesia care unit and nursing countermeasures

作　　者：陈赟 赵晶 张军 王昕 Chen Yun;Zhao Jing;Zhang Jun;Wang Xin(Department of Anesthesiology,Cancer Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属肿瘤医院麻醉科,上海200023

出　　处：《护理学杂志》2022年第13期26-29,共4页Journal of Nursing Science

摘　　要：目的降低麻醉苏醒室内全身麻醉患者术后低氧血症发生率,提高患者苏醒质量。方法以择期手术的1028例全身麻醉患者为对象,监测、记录其术后转入麻醉苏醒室的血氧饱和度及基本信息、术中麻醉情况、各项检验指标等。进行回归分析,并建立全身麻醉患者术后低氧血症发生率的预测模型。结果21.79%患者发生低氧血症,回归分析显示年龄≥70岁、体重指数≥25、ASA分级Ⅱ级及以上、胸部手术是患者发生低氧血症的危险因素(均P<0.05)。结论麻醉苏醒室术后患者低氧血症的发生率较高,高龄、肥胖、ASA分级Ⅱ级及以上及胸部手术患者应进行重点关注,以降低患者低氧血症发生率。Objective To reduce the incidence of hypoxemia in patients after general anesthesia in the post anesthesia care unit(PACU),and to enhance the quality and safety of anesthetic care.Methods A total of 1,028 patients undergoing elective surgery under general anesthesia were studied and their oxygen saturation values,basic information,intraoperative anesthesia and laboratory indicators were recorded.Risk factors for postoperative hypoxemia were determined by logistic regression analysis and a prediction model was identified.Results The prevalence of hypoxemia in the PACU was 21.79%.The age of 70 years or older,body mass index of 25 or more,American Society of Anesthesiologists Physical Status Classification(ASA)score ofⅡor greater,and thoracic surgery were risk factors for hypoxemia(P<0.05 for all).Conclusion The prevalence of hypoxemia in the PACU is relatively high.Patients with advanced age,obesity,ASA score ofⅡor greater,and receiving thoracic surgery should be paid more attention.

关 键 词：麻醉苏醒室 全身麻醉 低氧血症 体重指数 ASA分级 血氧饱和度 影响因素 护理对策 

分 类 号：R472.3[医药卫生—护理学]