无痛胃肠镜检查患者呼吸与循环系统不良事件发生的危险因素分析

发布时间：2018-01-13 20:45

本文关键词：无痛胃肠镜检查患者呼吸与循环系统不良事件发生的危险因素分析　出处：《山东医药》2016年37期 　论文类型：期刊论文

【摘要】：目的探讨无痛胃肠镜检查患者呼吸与循环系统不良事件发生的危险因素。方法选择接受无痛胃肠镜检查的患者1 281例,收集其临床资料(性别、年龄、BMI、吸烟史、饮酒史、心血管系统疾病史、呼吸系统疾病史、异常气道及糖尿病史、肝脏病史、肾脏病史),记录无痛胃肠镜检查术中及术后24 h内发生的呼吸、循环系统不良事件。采用单因素及Logistic多因素回归分析呼吸与循环系统不良事件发生的危险因素。结果 1 281例患者无痛胃肠镜检查术中及术后24 h共发生不良事件478例次,其中呼吸系统不良事件发生率4.92%,循环系统不良事件发生率为32.08%。经单因素及Logistic多因素回归分析结果显示:年龄≥65岁、有吸烟史、肺部疾病史、打鼾病史是呼吸系统不良事件发生的危险因素(OR分别为2.870、2.416、2.741、2.902,P均0.05);年龄≥65岁、有高血压病史、心脏病史、肺部疾病史是循环系统不良事件发生的危险因素(OR分别为3.552、3.715、5.907、2.053,P均0.05)。结论无痛胃肠镜检查时,高龄、有吸烟史、肺部疾病史、打鼾病史是呼吸系统不良事件发生的危险因素,高龄、有高血压病史、心脏病史、肺部疾病史是循环系统不良事件发生的危险因素。
[Abstract]:Objective to investigate the risk factors of adverse events of respiratory and circulatory system in patients undergoing painless gastroenteroscopy. Methods 1 281 patients undergoing painless gastroenteroscopy were selected and their clinical data (sex, age) were collected. BMI, history of smoking, history of alcohol consumption, history of cardiovascular diseases, history of respiratory diseases, history of abnormal airway and diabetes, history of liver disease, history of kidney disease). The respiration occurred during gastroenteroscopy and 24 hours after operation were recorded. Adverse events of circulatory system. Univariate and Logistic multivariate regression analysis was used to analyze the risk factors of adverse events in respiratory and circulatory systems. Results 1. There were 478 adverse events in 281 patients with painless gastroenteroscopy during operation and 24 hours after operation. The incidence of adverse events of respiratory system and circulatory system was 4.92 and 32.08 respectively. The results of univariate and Logistic multivariate regression analysis showed that the age was more than 65 years old. The OR of smoking history, lung disease history and snoring history were 2.870, 2.416, 2.741 and 2.902P, respectively. The odds ratios of hypertension, heart disease and lung disease were 3.552 / 3.7155.907 / 2.053 respectively. Conclusion in painless gastroenteroscopy, old age, history of smoking, history of lung disease and history of snoring are the risk factors of adverse events of respiratory system, old age, history of hypertension, history of heart disease. The history of pulmonary disease is a risk factor for adverse events in the circulatory system.
【作者单位】：遵义市第一人民医院;遵义市第五人民医院;
【基金】：贵州省卫生厅科学技术基金项目(gzwkj2013-1-130)
【分类号】：R57
【正文快照】： 胃肠镜检查是目前诊断消化道疾病的常用技术,随着麻醉学技术的发展,患者对医疗要求的提高,无痛胃肠镜检查因其无痛苦、患者依从性好,在临床被越来越多的患者所接受[1]。无痛胃肠镜检查即在胃肠镜检查时应用一种或多种对中枢神经有抑制作用的麻醉或镇静药物,使患者处于适度镇静

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