| 张 淼,胡宪文,李 锐,贾建霞,王晓丹.全身麻醉术后患者苏醒室内低体温发生率及其影响因素的Logistic回归分析[J].,2021,(7):1379-1382 |
| 全身麻醉术后患者苏醒室内低体温发生率及其影响因素的Logistic回归分析 |
| Logistic Regression Analysis on the Incidence of Hypothermia and Its Influencing Factors in Patients after General Anesthesia |
| 投稿时间：2020-09-29 修订日期：2020-10-24 |
| DOI：10.13241/j.cnki.pmb.2021.07.039 |
| 中文关键词: 全身麻醉术 苏醒室内 低体温 影响因素 |
| 英文关键词: General anesthesia Recovery room Hypothermia Influencing factors |
| 基金项目:安徽省重点研究与开发计划项目（201904a07020065） |
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| 中文摘要: |
| 摘要 目的：统计全身麻醉术后患者苏醒室内低体温发生率，并分析其影响因素。方法：以2020年5月~2020年10月我院收治的110例接受全身麻醉手术的患者为研究对象，采用回顾性分析方法，整理患者的病历资料。观察全身麻醉术后患者苏醒室内低体温发生率，发生低体温的列为低体温组，未发生低体温的列为正常体温组，采用多因素Logistic回归分析低体温的相关因素。结果：全身麻醉术后患者苏醒室内低体温患者为15例，低体温发生率为13.64%（15/110）。单因素分析发现，全身麻醉术后患者苏醒室内低体温发生与年龄、麻醉时间、手术时间、美国麻醉医师协会（ASA）分级、苏醒延迟、术中输液量有关（P<0.05），而与性别、体质量指数、术中环境温度、术前血红蛋白无关（P>0.05）。多因素Logistic回归分析结果显示，手术时间>4h、ASA分级为Ⅲ~Ⅳ级、术中输液量>1300 mL、年龄>60岁为全身麻醉术后患者苏醒室内低体温发生的影响因素（P<0.05）。结论：全身麻醉术后患者苏醒室内低体温的发生不可避免，且受多种因素影响，需尽量缩短手术时间，做好输入液体保温，特别做好老年患者保温工作，以减少低体温的发生风险。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the incidence of hypothermia after general anesthesia and analyze its influencing factors. Methods: 110 patients with general anesthesia in our hospital from May 2020 to October 2020 were selected as the research objects, and methods retrospective analysis was used to sort out the patient's medical records. The incidence of hypothermia in the wake-up room of patients after general anesthesia was observed. Patients with hypothermia were classified as hypothermia group and those without hypothermia were classified as normal body temperature group. Logistic regression was used to analyze the related factors of hypothermia. Results: There were 15 patients with hypothermia after general anesthesia. The incidence of hypothermia was 13.64% (15/110). Univariate analysis showed that the incidence of postoperative hypothermia in patients after general anesthesia was related to age, anesthesia time, operation time, American Society of Anesthesiologists (ASA) classification, recovery delay and intraoperative infusion volume (P<0.05), but not with gender, body mass index, intraoperative ambient temperature and preoperative hemoglobin (P>0.05). Multivariate Logistic regression analysis showed that operation time > 4h, ASA grade Ⅲ ~ Ⅳ, intraoperative infusion volume > 1300 mL, age > 60 years old were the influencing factors of the occurrence of postoperative hypothermia in patients after general anesthesia (P<0.05). Conclusion: The occurrence of hypothermia in the wake-up room of patients after general anesthesia is inevitable, and it is affected by many factors. It is necessary to shorten the operation time as far as possible, do a good job in heat preservation of input liquid, especially for elderly patients, so as to reduce the risk of hypothermia. |
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