病态肥胖患者腹腔镜减肥手术后早期拔管的影响因素分析

发布时间：2018-04-21 21:36

本文选题：病态肥胖 + 困难气道　；参考：《临床麻醉学杂志》2015年01期

【摘要】：目的研究影响病态肥胖患者腹腔镜减肥手术后早期拔管的因素。方法收集2007年1月至2013年6月在北京协和医院实施的全麻腹腔镜减肥手术39例患者的麻醉相关资料,根据手术后拔管时间不同将患者分为手术室内拔管返PACU组(PACU组,17例)和延迟拔管返ICU组(ICU组,22例)。采用独立样本t检验或χ2检验比较两组患者的人口学资料、术前合并症和麻醉用药等,非条件Logistic回归模型分析早期拔管的影响因素。结果共有39例病态肥胖患者入组,ICU组患者的年龄、BMI、高血压和阻塞性睡眠呼吸暂停综合征(OSA)的发生率明显高于PACU组(P0.05),其中BMI和睡眠呼吸紊乱指数(AHI)是影响术后是否能够早期拔管的危险因素。结论病态肥胖患者的BMI和OSA的严重程度可能是影响术后是否能够早期拔管的重要因素。
[Abstract]:Objective to study the factors influencing the early extubation of patients with morbid obesity after laparoscopic weight-loss surgery. Methods from January 2007 to June 2013, the anesthetic data of 39 patients undergoing general anesthesia laparoscopic slimming surgery in Beijing Union Hospital were collected. According to the time of extubation, the patients were divided into operation room extubation group (17 cases) and delayed extubation back to ICU group (22 cases). T test and 蠂 2 test were used to compare the demographic data of the two groups, preoperative complications and anaesthesia. The factors influencing the early extubation were analyzed by non conditional Logistic regression model. Results the incidence of age BMI, hypertension and obstructive sleep apnea syndrome (OSA) in 39 patients with morbid obesity was significantly higher than that in PACU group (P 0.05). BMI and sleep apnea index (AHII) were related to the postoperative outcome. Risk factors for early extubation. Conclusion the severity of BMI and OSA in patients with morbid obesity may be an important factor influencing early extubation after operation.
【作者单位】：中国医学科学院北京协和医院麻醉科;内蒙古包头市包钢三医院麻醉科;北京市房山区第一医院麻醉科;
【分类号】：R614

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