转化医学杂志2018，Vol.7Issue(3)：153-155,193,4.DOI:10.3969/j.issn.2095-3097.2018.03.008
影响唇腭裂修复术患儿全麻后快速恢复相关因素的回顾性分析
A retrospective analysis of factors influencing post-anesthesia rapid recovery after pediatric cleft lip and/or palate repair
摘要
Abstract
Objective To investigate the predictors for rapid postoperative recovery from general anesthesia ( GA) in children less than three-year old receiving repair of cleft lip or palate. Methods Totally 314 children less than three years old, who received repair of cleft lip or palate under GA in Peking Union Medical Collegc Hospital from Jan 2013 to Dec 2016, were divided into two groups according to the time from extubation to discharge from operation room and back to ward. Rapid recovery from GA were defined as the recovery time less than 30 min. All the records, inclu-ding demographics, preoperative coexist diseases, the parameters of anesthesia and operation, were compared between these two groups. The multivariate logistic regression analysis was used to survey the potential risk factors. Results When compared with the rapid recovery group, children in the non-rapid recovery group had significantly smaller age, lower body weight, smaller tracheal tube ID, less proportion of cleft palate repairment, and higher rate of preoperative respiratory coexist diseases ( P<0. 01) . The multivariate logistic regression analysis showed that preoperative respiratory coexist diseases was the independent predictors for non-rapid recovery from GA ( OR=5. 622, 95％ CI=1. 650～19. 158) . Conclusion Preoperative respiratory coexist diseases is an independent predic-tors for non-rapid recovery from GA in children <3 years old receiving repair of cleft lip or palate.关键词
全身麻醉/唇腭裂修补术/快速术后恢复/儿童Key words
General anesthesia ( GA)/Repair of cleft lip or palate/Rapid postoperative re-covery/Children分类
医药卫生引用本文复制引用
张砡,朱波,宋锴澄,虞雪融,张羽冠,张爱华,郑茂灿..影响唇腭裂修复术患儿全麻后快速恢复相关因素的回顾性分析[J].转化医学杂志,2018,7(3):153-155,193,4.基金项目
公益性行业科研专项(201402017) （201402017）
