胸腔镜手术患者滞留PACU的影响因素分析  

Analysis of influencing factors of PACU retention in patients after thoracoscopic surgery

作　　者：何斌斌 HE Binbin(Department of Anesthesiology,Taizhou Central Hospital,Taizhou University Hospital,Taizhou 318000,Zhejiang,China)

机构地区：[1]台州市中心医院/台州学院附属医院麻醉科,浙江台州318000

出　　处：《中国现代医生》2024年第25期53-56,共4页China Modern Doctor

摘　　要：目的分析胸腔镜手术后患者滞留麻醉恢复室(postanesthesia care unit,PACU)的影响因素,为临床预防与治疗提供依据。方法回顾性分析2023年1月至12月于台州市中心医院行肺部胸腔镜手术的645例患者的临床资料,根据患者在PACU停留时间是否>30min将其分为滞留组和非滞留组,采用Logistic回归分析患者术后滞留PACU的危险因素。结果645例患者中的159例(24.65%)术后在PACU滞留时间>30min。两组患者的年龄、体质量指数、吸烟、美国麻醉医师协会(American Society of Anesthesiologists,ASA)分级、术前贫血、手术时间、术中低氧血症、术中低体温比较差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄、ASA分级Ⅲ/Ⅳ级、手术时间>120min、术中低氧血症、术中低体温均是肺部胸腔镜手术患者术后滞留PACU的危险因素(P<0.05)。结论胸腔镜手术后患者滞留PACU与年龄、ASA分级Ⅲ/Ⅳ级、手术时间>120min、术中低氧血症、术中低体温等因素相关,临床工作中需积极预防与治疗,促进患者术后恢复。Objective To analyze the influencing factors of postanesthesia care unit(PACU)retention in patients after thoracoscopic surgery,so as to provide evidence for clinical prevention and treatment.Methods Clinical data of 645 patients undergoing thoracoscopic surgery in Taizhou Central Hospital from January to December 2023 were retrospectively analyzed.Patients were divided into retention group and non-retention group according to whether their stay time in PACU was more than 30 min.The risk factors of postoperative PACU retention were analyzed by Logistic regression.Results Among the 645 patients,159(24.65%)remained in PACU for more than 30 min.There were statistically significant differences in age,body mass index,smoking,American Society of Anesthesiologists(ASA)grade,preoperative anemia,operation time,intraoperative hypoxemia and intraoperative hypothermia between two groups(P<0.05).Multivariate Logistic regression analysis showed that age,ASA gradeⅢ/Ⅳ,operation time>120 min,intraoperative hypoxemia and intraoperative hypothermia were all risk factors for postoperative PACU retention in patients undergoing thoracoscopic surgery(P<0.05).Conclusion The PACU retention of patients after thoracoscopic surgery is related to age,ASA gradeⅢ/Ⅳ,operation time>120 min,intraoperative hypoxemia,intraoperative hypothermia and other factors.Clinical work should actively prevent and treat the patients to promote postoperative recovery.

关 键 词：胸腔镜手术 麻醉恢复室 危险因素 

分 类 号：R614[医药卫生—麻醉学]