倾斜式大刀位置对外科手术内低血压在皮肤透视术期间的影响:回顾性匹配分析
Song Lyu1, Guobin Wu2, Yingfen Wu1
1Department of Anesthesiology, The Second Affiliated Hospital of Hainan Medical University, Haikou, People's Republic of China.
Therapeutics and clinical risk management
|November 8, 2023
概括
在皮肤透视神经镜检查期间,倾斜的刀位置增加了手术内低血压的风险. 这种手术位置是手术期间患低血压的重要危险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 外科手术的安全性
背景情况:
- 在手术过程中,手术期间的低血压是一个关键问题.
- 穿皮透镜是一种常见的泌尿外科干预.
- 患者的位置可以显著影响血液动力学稳定性.
研究的目的:
- 为了研究在穿皮透镜检查期间倾斜的刀位置和手术内低血压之间的关联.
- 为了比较低血压的发生率和持续时间,患者将倾斜的刀与横向的刀放在一起.
主要方法:
- 对651名接受皮肤透透镜的患者的回顾性分析.
- 1:1的倾向分数匹配,以比较倾向的刀和横向位置组.
- 二元逻辑和线性回归分析以评估低血压的发生率和持续时间.
主要成果:
- 在匹配后,倾向于刀组 (136名患者) 与侧面组 (136名患者) (OR 2.71) 相比,手术内低血压的发生率显著更高.
- 年龄和身体位置被确定为低血压的重要风险因素.
- 低血压的持续时间与年龄,手术时间和高血压病史有关.
结论:
- 倾斜的刀位置是皮肤透视术中手术内低血压的独立风险因素.
- 麻醉师和外科医生应该意识到这种风险,并考虑替代定位或监测策略.
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