术前床检测指标作为肥胖患者难以进行视频喉腔镜检查的预测指标:一项前性观察性研究
Liumei Li1, Guanyu Yang1, ShiYing Li1
1Department of Anesthesiology and Perioperative Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China.
PeerJ
|August 19, 2024
概括
困难的视频喉腔镜检查发生在4.8%的肥胖患者中. 较高的身体质量指数 (BMI) 显著增加了这一群体难以进行视频喉腔镜检查的风险.
科学领域:
- 麻醉学 麻醉学
- 肥胖医学 肥胖医学
背景情况:
- 肥胖在呼吸道管理中带来了独特的挑战.
- 视频喉腔镜是内内管管道输入的一个常见工具.
研究的目的:
- 为了确定与肥胖患者难以进行视频喉腔镜相关的因素.
- 为了确定这个人口群体中难以进行视频喉腔镜的发病率.
主要方法:
- 一项对579名接受腹腔镜减肥手术的肥胖患者的研究.
- 患者使用视频喉腔镜进行直管,并根据Cormack-Lehane等级进行分类.
- 视频喉腔镜难度被定义为Cormack-Lehane等级≥3.视频喉腔镜难度被定义为Cormack-Lehane等级≥3.视频喉腔镜难度被定义为Cormack-Lehane等级≥3.
主要成果:
- 视频喉腔镜检查难度的发生率为4.8%.
- 多变量逻辑回归显示,体质指数 (BMI) 和难以进行视频喉腔镜 (OR = 1.082,P < 0.001) 之间存在显著的关联.
结论:
- 在没有已知的呼吸道困难的中国肥胖患者中,难以进行视频喉腔镜的发病率为4.8%.
- 体重指数升高是导致肥胖个体难以进行视频喉腔镜检查的关键因素.
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