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在3岁以上的儿童中,桃体切除术后需要补充氧气
Elaine Martin1, Madelyn Frank1, Cecilia Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Orange, CA, USA.
International journal of pediatric otorhinolaryngology
|February 21, 2024
概括
经过桃体切除术的3岁以上儿童在手术后需要氧气,通常与更高的BMI和手术前睡眠呼吸暂停有关. 识别这些危险因素有助于管理桃体切除术后儿科患者的护理.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 麻醉学 麻醉学
背景情况:
- 儿科桃体切除术 (年龄大于3岁) 的术后入院标准不如较年轻儿童那么明确.
- 呼吸系统损害是一种常见的并发症,需要监测和支持.
- 识别氧气使用的风险因素可以优化住院儿童的护理.
研究的目的:
- 在接受桃体切除手术的3-18岁儿童中评估术后补充氧气的危险因素.
- 确定需要额外资源或手术后干预的高风险人群.
主要方法:
- 对401名经过桃体切除术的儿科患者 (3-18岁) 的回顾性图表审查.
- 收集的数据包括人口统计,并发症,术前和术后的呼吸暂停-呼吸暂停指数 (AHI),以及氧气需求.
- 拉索回归分析确定了补充氧气使用的关键预测因素.
主要成果:
- 9.07%的患者接受了术后补充氧气.
- 肥胖 (BMI ≥30),严重的手术前阻塞性睡眠呼吸暂停 (AHI >30),以及胃肠/肌肉骨并发症显著增加氧气需求.
- 心脏和肺的并发症也显示出相关性,而女性性别是保护性的.
结论:
- 较高的BMI,严重的手术前OSA,男性性别和特定的并发症 (GI,肌肉骨,心脏,肺) 与术后氧气使用增加有关.
- 诸如年龄,种族和某些其他相关疾病等因素与更高的氧气需求无关.
- 这些发现有助于识别有风险的儿科桃体切除术患者,以提供针对性的术后护理.
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