在麻醉期间的乳酸水平在接受喉瘤手术的患者中
Xiaoxu Shen1, Xiaoyun Cao2,3,4,5,6, Xuehua Che7
1Department of Nursing, Shanghai Medical School, Huashan Hospital, Fudan University, Shanghai, China.
Frontiers in surgery
|June 25, 2025
概括
乳酸盐水平在喉瘤手术麻醉期间上升,与术后高血相关. 然而,乳酸性酸症在适当的管理下并没有显著影响不良结果.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 喉瘤手术带来了独特的麻醉挑战.
- 监测代谢变化,如高乳糖血症,对于患者的安全至关重要.
研究的目的:
- 为了确定喉瘤手术期间的超乳酸血症和乳酸酸症的发生率.
- 调查乳酸盐水平升高与手术结果之间的关联,特别是术后高血.
主要方法:
- 从261名接受喉瘤手术 (2019-2023) 的患者的临床数据分析.
- 动脉血液气体分析,以监测麻醉期间的乳酸水平.
- 将患者分为乳酸化 (LA),高乳酸血症 (HL) 和正常控制 (NC) 组.
- 主要结局:严重的术后高血的发生率.
主要成果:
- 平均乳酸水平在麻醉期间显著增加 (1.4至4.6毫米尔/升).
- 16.9%的患者患上了乳糖血症 (HL),11.9%患上了乳酸化症 (LA).
- 麻醉的持续时间与乳酸水平的增加密切相关 (OR 1.50).
- 乳糖水平升高独立预测了手术后的高血 (OR 2.12).
- 两组之间没有观察到住院,ICU住院或严重并发症的显著差异.
结论:
- 乳酸水平在喉瘤手术麻醉期间增加.
- 乳糖水平升高与术后高血有关.
- 乳酸,当适当管理时,没有导致明显更糟糕的术后结果.
相关概念视频
Stages of General Anesthesia
743
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
743
Aneurysm IV: Nursing Management
23
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
23
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
183
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
183
Local Anesthetics: Clinical Application as Spinal Anesthesia
816
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
816
General Anesthesia: Overview
307
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
307


