对 postoperative hypoxemia 相关的风险因素的元分析 在麻醉后护理单位
Ni Xiong1, Yueqin Nong2, Yaping Yi3
1Department of Anesthesiology, The 923rd Hospital of The Joint Logistics Support Force of The People's Liberation Army of China No. 52 Zhizhi Road, Qingxiu District, Nanning 530021, Guangxi, China.
American journal of translational research
|November 15, 2024
概括
在麻醉后护理单位 (PACU) 确定术后低氧症的危险因素至关重要. 高龄,BMI升高,手术前低氧和度,吸烟,长期手术和阿片类药物使用是关键预测因素.
科学领域:
- 麻醉学 麻醉学
- 临界护理医学 临界护理医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 手术后低氧症是麻醉后护理单位 (PACU) 的常见并发症.
- 确定可修改和不可修改的风险因素对于有效的预防策略至关重要.
研究的目的:
- 系统地识别和量化与PACU中术后低血相关的风险因素.
- 提供基于证据的建议,以预防高风险手术患者的低氧症.
主要方法:
- 观察性研究的系统审查和元分析 (队列,病例控制,横截面).
- 在PubMed,Embase,Cochrane图书馆和Web of Science数据库中搜索到2024年6月.
- 提取数据和评估研究质量;使用RevMan 5.3.3进行元分析.
主要成果:
- 纳入了11项研究,包括24147名患者;5587人患有低氧症.
- 确定了重要的危险因素:晚年 (OR=1.19),BMI升高 (OR=1.64),手术前低氧和 (OR=3.16),吸烟 (OR=1.67),手术>120分钟 (OR=1.43),以及阿片类药物使用 (OR=1.51).
结论:
- 在PACU中术后缺氧症与几个可识别的危险因素有关.
- 针对性预防策略对于老年,肥胖,手术前低氧和,吸烟者,经历长期手术或使用阿片类药物的患者是必要的.
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