机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间的影响因素分析  

Influencing factors on post-anesthesia care unit monitoring and treatment time in patients undergoing robot-assisted vertebroplasty

作　　者：孙子乔 相苗苗 蔡月红[1] 沈启英[1] 柏林 SUN Ziqiao;XIANG Miaomiao;CAI Yuehong;SHEN Qiying;BAI Lin(Department of Anesthesiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Neurology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院麻醉科,安徽合肥230022 [2]安徽医科大学第一附属医院神经内科,安徽合肥230022

出　　处：《机器人外科学杂志(中英文)》2025年第4期591-595,共5页Chinese Journal of Robotic Surgery

基　　金：安徽省高校优秀青年人才支持项目(gxyqfx2022010)。

摘　　要：目的:探讨机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间延长的相关影响因素。方法:回顾性分析2023年12月—2024年9月安徽医科大学第一附属医院行机器人辅助椎体成形术的66例患者临床资料,根据麻醉恢复室监测治疗时间长短,分为延长组(n=19)和非延长组(n=47)。收集并分析两组患者性别、年龄、BMI、心功能分级、ASA分级、术前合并症、麻醉用药、手术时间等相关资料,筛选有统计学差异的变量再进行Logistic单因素、多因素回归分析。结果:与非延长组相比,延长组患者平均年龄更大,合并高血压患者占比更高,术前BMI、入室SpO_(2)更低(P<0.05)。单因素Logistic回归分析示年龄、BMI、入室SpO_(2)与患者麻醉恢复室监测治疗时间延长相关;多因素Logistic回归分析示BMI和入室SpO_(2)是影响机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间延长的独立影响因素(P<0.05);ROC曲线分析显示,BMI、入室SpO_(2)曲线下面积(AUC)分别为0.723、0.681,提示BMI、入室SpO_(2)对机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间有一定预测价值。结论:术前低BMI和入室时低SpO_(2)会延长机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间,临床实践中需加强麻醉监测及管理,改善患者术前营养状况及呼吸功能,进一步提高手术安全性。Objective:To investigate the factors influencing prolonged post-anesthesia care unit(PACU)monitoring and treatment time in patients undergoing robot-assisted vertebroplasty.Methods:Clinical data of 66 patients who underwent robot-assisted vertebroplasty at the First Affiliated Hospital of Anhui Medical University from December 2023 to September 2024 were retrospectively analyzed.Based on PACU monitoring duration,patients were divided into the prolonged group(n=19)and the non-prolonged group(n=47).Data including gender,age,BMI,cardiac function classification,ASA classification,preoperative comorbidities,anesthetic dosage,and operative time were compared between the two groups of patients.Variables with statistical significance were further analyzed using univariate and multivariate Logistic regression.Results:Compared to the non-prolonged group,the prolonged group had older mean age,higher proportion of hypertensive patients,and lower preoperative BMI and baseline SpO_(2) levels upon PACU admission(P<0.05).Univariate Logistic regression identified age,BMI,and baseline SpO_(2) as factors associated with prolonged PACU time.Multivariate analysis revealed BMI and baseline SpO_(2) as independent predictors of prolonged PACU monitoring(P<0.05).Receiver operating characteristic(ROC)curve analysis demonstrated that BMI and baseline SpO_(2) had area under the curve(AUC)values of 0.723 and 0.681,respectively,indicating their predictive value for prolonged PACU time.Conclusion:Low preoperative BMI and reduced baseline SpO_(2) are associated with prolonged PACU monitoring and treatment time after robot-assisted vertebroplasty.Clinical practice should emphasize enhanced anesthetic monitoring and management,along with improving preoperative nutritional status and respiratory function to optimize surgical safety.

关 键 词：椎体成形术 机器人辅助手术 麻醉恢复室 影响因素 

分 类 号：R614[医药卫生—麻醉学]