在门诊高级内镜手术中延迟恢复的预测因素
Zoilo K Suarez1,2, Alexandria Lenyo3, Philip M Frasse4
1Internal Medicine Department University of Arizona College of Medicine Phoenix Arizona USA.
DEN open
|September 11, 2025
概括
经过高级或复杂内镜检查 (ACE) 后的胃肠道症状很常见. 女性性别,更长的手术时间和更高的疼痛评分预测了更长的恢复时间,为麻醉后护理策略提供了信息.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 患者的治疗结果.
背景情况:
- 关于先进或复杂内镜 (ACE) 的麻醉后恢复过程中的患者结果的数据有限.
- 胃肠道疾病在ACE后很常见,可能会影响恢复和麻醉后的护理.
- 了解术后症状对于优化患者康复至关重要.
研究的目的:
- 在接受ACE的患者中描述术后症状.
- 确定影响ACE后恢复时间和过程的因素.
- 为优化ACE手术后护理提供数据.
主要方法:
- 对前性收集的门诊ACE患者数据库的回顾性审查.
- 记录了与程序相关的症状,恢复时间,解雇率和不良事件 (AE).
- 分析了使用多重回归分析延长恢复时间的相关因素.
主要成果:
- 包括172名患者 (平均年龄为62.77岁).
- 37.2%的人经历了延长的恢复时间,腹痛和恶心是最常见的.
- 女性性别,更长的手术持续时间和更高的30分钟手术后疼痛得分预测了延长的恢复 (p <0.05).
- 程序性AE率为5.8%;计划外住院率为3.5%.
结论:
- 经常出现ACE后的程序性症状.
- 女性性别,手术持续时间和早期疼痛评分预测了恢复时间.
- 这些发现有助于优化ACE患者的术后护理.
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