胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战的影响因素分析  

Influencing factors analysis of shivering during anesthetic recovery period in patients with thoracolaparoscopic combined esophageal cancer radical operation

作　　者：王婷[1,2] 王剑 殷小容 WANG Ting;WANG Jian;YIN Xiaorong(Department of Anesthesiology,West China Hospital of Sichuan University,Chengdu,Sichuan 610000,China;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610000,Sichuan)

机构地区：[1]四川大学华西医院麻醉科,成都610000 [2]四川大学华西护理学院,成都610000

出　　处：《重庆医学》2024年第14期2177-2181,共5页Chongqing medicine

摘　　要：目的探讨胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战的影响因素。方法回顾性分析2019-2021年在四川大学华西医院实施胸腹腔镜联合食管癌根治术的298例患者的相关临床资料,根据患者麻醉苏醒期是否发生寒战分为寒战组(n=67)和非寒战组(n=231),使用单因素χ^(2)检验及二元logistic回归分析发生寒战的独立危险因素。结果经单因素和多因素logistic回归分析结果显示:两组间性别、年龄、术中体温、麻醉时间、术中舒芬太尼用量、术后疼痛评分、术中苯磺酸顺式阿曲库铵用量比较差异有统计学意义(P<0.05)。经多因素logistic回归分析结果显示:年龄≥60岁(OR=3.124)、术中体温<36℃(OR=2.994)、麻醉时间≥6 h(OR=0.204)、术后疼痛评分≥5分(OR=7.514)、术中苯磺酸顺式阿曲库铵用量≥25 mg(OR=2.317)、术中舒芬太尼用量≤45μg(OR=5.466)是胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战发生的独立危险因素(P<0.05)。结论影响胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战发生有多个独立危险因素。Objective To investigate the influencing factors of shivering during anesthesia recovery in the patients with thoracolaparoscopic combined esophageal radical operation.Methods The related clinical data in 298 patients with thoracolaparoscopic esophageal cancer radical operation in West China Hospital of Sichuan University during 2019-2021 were retrospectively analyzed.The patients were divided into the shivering group(n=67)and non-shivering group(n=231)according to whether or not having shivering during the anesthetic recovery period.The univariate chi-square testing and binary logistic regression were used to analyze the independent risk factors for shivering occurrence.Results The univariate and multivariate logistic regression analysis results showed that the gender,age,intraoperative body temperature,anesthesia duration,intraoperative sufentanil dosage,postoperative pain score and intraoperative consumption of cisatracurium benzenesulfonate had statistical differences between the two groups(P<0.05).The multivariate logistic regression analysis results showed that the age≥60 years old(OR=3.124),intraoperative body temperature<36℃(OR=2.994),anesthetic duration>6 h(OR=0.204),postoperative pain score≥5 points(OR=7.514),intraoperative cisatracurium benzenesulfonate dosage≥25 mg(OR=2.317),intraoperative remifentanil dosage≤45μg(OR=5.466)were the independent risk factors for shivering occurrence during the anesthetic recovery period in the patients with thoracolaparoscopic combined esophageal radical operation(P<0.05).Conclusion There are several independent risk factors for shiver occurrence in the patients with thoracolaparoscopic combined esophageal cancer radical operation.

关 键 词：食管癌根治术 麻醉苏醒期 寒战 影响因素 

分 类 号：R614[医药卫生—麻醉学] R735.1[医药卫生—外科学]