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婴幼儿全身麻醉苏醒期呼吸系统不良事件的相关因素分析

华妤 朱宇航 徐乐 龚涛武 刘兴奎 朱昭琼

川北医学院学报2018,Vol.33Issue(1):22-25,4.
川北医学院学报2018,Vol.33Issue(1):22-25,4.DOI:10.3969/j.issn.1005-3697.2018.01.007

婴幼儿全身麻醉苏醒期呼吸系统不良事件的相关因素分析

Analysis of factors related to infants respiratory system adverse events during the anesthesia recovery period

华妤 1朱宇航 2徐乐 2龚涛武 1刘兴奎 1朱昭琼1

作者信息

  • 1. 遵义医学院附属医院麻醉科,贵州 遵义 563000
  • 2. 贵州省麻醉与器官保护基础研究重点实验室,贵州 遵义 563000
  • 折叠

摘要

Abstract

Objective:To provide guidance for clinical anesthesia safety byanalyzing of factors related to infants respiratory sys-tem adverse events during the anesthesia recovery period.Methods:80 cases of infants who undergoing general anesthesia elective sur-gery were collected.It was defined that may cause the related influencing factors for respiratory system adverse events,including age, gender,surgery season,operative site,anesthesia method,whether combined with upper respiratory infection(URI) and Whether under-going laparoscopic surgery. Adverse events were included cough,phlegm,hoarseness,SpO2<90%,laryngismus and bronchospasm.The basic vital signs and respiratory system adverse events happened in the general anesthesia recovery period were recorded.Results:The incidence of respiratory system adverse events in the group with preoperative URI was higher than that in the group with no preoperative URI(46.2% vs.16.4%,P=0.043).The risk of happening two or more respiratory adverse events increased in infants combined with preoperative URI (OR=9.844,95% CI=2.182~44.408).Conclusions:Preoperative URI in infants will increase the incidence of respiratory system adverse events during general anesthesia recovery period.Whereas all the age,gender,surgery season,operative site, anesthesia method and whether undergoing laparoscopic surgery are not independence influence factors.

关键词

全身麻醉苏醒期/呼吸系统/不良事件/婴幼儿/安全性

Key words

General anesthesia recovery/Respiratory system/Adverse events/Infant/Safety

分类

医药卫生

引用本文复制引用

华妤,朱宇航,徐乐,龚涛武,刘兴奎,朱昭琼..婴幼儿全身麻醉苏醒期呼吸系统不良事件的相关因素分析[J].川北医学院学报,2018,33(1):22-25,4.

基金项目

国家自然科学基金(81660021) (81660021)

贵州省社会发展公关项目(黔科合SY字[2013]3064号) (黔科合SY字[2013]3064号)

川北医学院学报

OACSTPCD

1005-3697

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