在接受剖腹产的患者中,与低温风险相关的因素:回顾性队列研究
Ryan J Keneally1, Andrew B Canonico1, Laura M Roland1
1Department of Anesthesiology and Critical Care Medicine, George Washington University, Washington, District of Columbia, USA.
Proceedings (Baylor University. Medical Center)
|June 25, 2025
概括
与全身麻醉 (GA) 相比,神经轴麻醉 (NA) 增加了剖腹产后低温的风险. 较低的社会经济地位和较长的程序也会增加这种风险,需要有针对性的预防策略.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 外科手术期间的低温对患者构成重大风险.
- 现有的研究还没有充分区分剖腹产 (CD) 中的全身麻醉 (GA) 和神经轴麻醉 (NA) 之间的低温风险.
研究的目的:
- 调查和比较在接受剖腹产 (CD) 和全身麻醉 (GA) 与神经轴麻醉 (NA) 的患者中低温的发生率.
- 为了确定与CD期间低温风险增加相关的患者和程序因素.
主要方法:
- 分析来自国家麻醉临床结果注册表的数据,用于接受CD的患者.
- 在GA和NA组之间比较低温率和赔率比率.
- 后勤回归分析以确定风险因素,包括社会经济地位和麻醉持续时间.
主要成果:
- 与GA相比,接受NA的患者发生低温的频率更高 (3.6%对2.4%,P = 0.001).
- 较低的社会经济地位 (收入中位数<5万美元) 与显著更高的低温率 (7.1%对2.3%,P <0.001) 有关.
- 神经轴麻醉 (OR = 1.48),更长的麻醉时间和较低的社会经济地位与低温的几率增加有关.
结论:
- 神经轴麻醉与剖腹产患者的低温率和风险更高有关.
- 来自较低社会经济背景的患者和具有较长麻醉持续时间的患者面临较高的低温风险.
- 麻醉提供者应实施有针对性的策略,在这些高风险患者群体中预防和管理低温症.
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