环泊酚镇静下无痛胃镜检查病人低氧血症预测模型的构建OA北大核心
Establishment of prediction model for hypoxemia in patients undergoing painless gastroscopy under ciprofol sedation
目的:筛选环泊酚镇静下无痛胃镜检查病人低氧血症发生的影响因素并建立预测模型.方法:选择2023年9月—11月于淮安市第一人民医院门诊内镜中心在环泊酚镇静下行无痛胃镜检查的1 423例病人作为建模组.采用Logistic回归分析病人低氧血症发生的影响因素,并绘制列线图预测模型.结果:在环泊酚镇静下无痛胃镜检查病人低氧血症发生率为7.94%.Logistic回归分析显示,年龄、体质指数(BMI)、打鼾、屏气时间短、基础血氧饱和度低是无痛胃镜检查病人发生低氧血症的危险因素.列线图预测模型的受试者工作特征(ROC)曲线下面积为0.837,校正曲线接近理想曲线.且决策曲线分析(DCA)显示预测模型净获益良好.结论:基于年龄、BMI、打鼾、屏气时间、基础血氧饱和度建立的列线图模型对无痛胃镜检查病人低氧血症的发生具有较高的预测价值.
Objective:To screen the risk factors of hypoxemia in patients undergoing painless gastroscopy under ciprofol sedation and to establish a prediction model.Methods:A total of 1 423 patients who underwent painless gastroscopy under ciprofol sedation in the outpatient endoscopy center of the First Hospital in Huai'an from September to November 2023 were selected as the modeling group.According to the analysis of independent influencing factors of hypoxemia in patients by logistic regression,the Nomogram prediction model was drawn.Results:The incidence of hypoxemia in patients undergoing painless gastroscopy under ciprofol sedation was 7.94% .Logistic regression showed that age,BMI,snoring,short breath-holding time,and low basal oxygen saturation were independent risk factors for hypoxemia in patients undergoing painless gastroscopy.The area under the ROC curve of the Nomogram prediction model was 0.837,and the calibration curve was close to the ideal curve.The net benefit of DCA was good.Conclusion:The Nomogram model established based on age,BMI,snoring,breath-holding time,and basal oxygen saturation has a high predictive value for the occurrence of hypoxemia in patients undergoing painless gastroscopy.
薛婷婷;陈慧娟;王焕;张爱琴
南京医科大学附属淮安第一医院,江苏 223300南京医科大学金陵临床医学院(东部战区总医院)
低氧血症环泊酚无痛胃镜影响因素预测模型
hypoxemiaciprofolpainless gastroscopyinfluencing factorsprediction model
《护理研究》 2025 (001)
54-59 / 6
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