在接受针麻醉下消化肠道内镜检查的患者中出现并发症的危险因素
Haoliang Cai1, Xiaohui Wu2, Xi Chen3
1Haoliang Cai, Department of Anesthesiology, Shuguang Hospital, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China.
Pakistan journal of medical sciences
|October 17, 2024
概括
这项研究确定了在针麻醉的胃肠内镜期间出现并发症的危险因素. 使用体重指数,心血管和呼吸系统疾病史,禁食时间和镇静激发量表得分的预测模型被证明是有效的.
科学领域:
- 综合医学是一个整体医学.
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 胃肠内镜是一种常见的手术.
- 针麻醉是一种替代性麻醉方法.
- 识别并发症风险对于患者安全至关重要.
研究的目的:
- 为了确定在接受针麻醉下消化肠道内镜检查的患者出现并发症的危险因素.
- 为这些并发症构建一个名ogram预测模型.
主要方法:
- 追溯研究292名患者接受胃肠内镜与针麻醉.
- 后勤回归分析以确定风险因素.
- 使用C指数,校准曲线和ROC曲线构建和验证名图.
主要成果:
- 在25.68%的患者中出现并发症.
- 确定的危险因素包括身体质量指数 (BMI),心血管疾病史,禁食时间,呼吸系统疾病史和镇静激发量表 (SAS) 评分.
- 诺莫格拉姆模型显示出高预测性能 (C指数:0.927,AUC:0.927).
结论:
- 体重指数 (BMI),心血管疾病史,禁食时间,呼吸道疾病史和SAS得分是并发症的独立风险因素.
- 开发的诺米图是有效预测在针麻醉下胃肠内镜期间的并发症.
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