腹腔镜子宫切除术合并高乳酸血症的影响因素分析  

Analysis of Risk Factors for Laparoscopic Hysterectomy Complicated by Hyperlactatemia

作　　者：李小双[1] 马茂森 查卫峰 李永军[1] LI Xiaoshuang;MA Maosen;ZHA Weifeng;LI Yongjun(Department of Anesthesiology,Lianshui County People's Hospital,Lianshui,Jiangsu,223400,China)

机构地区：[1]涟水县人民医院麻醉科,江苏涟水223400

出　　处：《中外医疗》2024年第27期34-36,共3页China & Foreign Medical Treatment

摘　　要：目的分析腹腔镜子宫切除术合并高乳酸血症的影响因素。方法回顾性选取2021年3月—2023年3月在涟水县人民医院接受腹腔镜子宫切除术的50例患者的临床资料,根据是否合并高乳酸血症分为乳酸增高组(10例)和乳酸正常组(40例)。收集患者的临床资料,并通过单因素分析和多因素Logistic回归分析腹腔镜子宫切除术合并高乳酸血症的影响因素。结果乳酸增高组和乳酸正常组的年龄、血红蛋白浓度、凝血酶原时间、总胆红素浓度、白蛋白浓度、术中补液量、术中出血量比较,差异无统计学意义(P均>0.05);两组患者的体重指数、血肌酐浓度、手术时间、术中尿量、气腹时间比较,差异有统计学意义(P均<0.05)。多因素Logistic回归分析显示,气腹时间是腹腔镜子宫切除患者合并高乳酸血症的独立危险因素(OR=1.685,95%CI:1.649~2.826,P<0.05)。结论腹腔镜子宫切除术合并高乳酸血症常有发生,而气腹时间是其独立危险因素。Objective To analyze the influencing factors for hyperlactatemia in patients undergoing laparoscopic hysterectomy.Methods The clinical data of 50 patients who underwent laparoscopic hysterectomy in Lianshui County People's Hospital from March 2021 to March 2023 were retrospectively selected.According to whether they were complicated with hyperlactacidemia,they were divided into lactic acid increased group(10 cases)and lactic acid normal group(40 cases).The clinical data of patients were collected,and the influencing factors of laparoscopic hysterectomy combined with hyperlactacidemia were analyzed by single factor analysis and multivariate Logistic regression.Results There was no significant difference in age,hemoglobin concentration,prothrombin time,total bilirubin concentration,albumin concentration intraoperative fluid volume and intraoperative blood loss between the lactic acid increased group and the lactic acid normal group(all P>0.05).There were significant differences in body mass index,serum creatinine concentration,operation time,intraoperative urine volume and pneumoperitoneum time between the two groups(all P<0.05).Multivariate Logistic regression analysis showed that pneumoperitoneum time was an independent risk factor for hyperlactacidemia in patients undergoing laparoscopic hysterectomy(OR=1.685,95%CI:1.649-2.826,P<0.05).Conclusion Hyperlactatemia in patients is very common in laparoscopic hysterectomy.And pneumoperitoneum time is an independent risk factor of hyperlactatemia in patients undergoing laparoscopic hysterectomy.

关 键 词：腹腔镜子宫切除术 高乳酸血症 回归分析 影响因素 气腹时间 

分 类 号：R614[医药卫生—麻醉学]