网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
感冒评分对患儿术中、术后呼吸系统并发症的预测作用
作者:徐纳新  
单位:北京大学深圳医院麻醉科
关键词:感冒评分 上呼吸道感染 全麻 
分类号:
出版年·卷·期(页码):2016·44·第十期(1440-1443)
摘要:

摘要 目的 探讨感冒评分同合并上呼吸道感染患儿全身麻醉中呼吸系统并发症的关系。方法 选取²0¹³年²月至²0¹5年²月我院收治的³¹9例行全身麻醉手术患儿进行回顾性分析,根据术前感冒评分,将其分为A组(0-²分,²¹6例)、B组(³-4分组,8²例)和C组(5分以上组,²¹例),观察手术期及术后呼吸系统并发症的情况。结果 各组一般资料(年龄、体重、手术时间、麻醉时间)无统计学意义(P>0.05);B组和C组全麻术中呼吸道并发症显著高于A组(P<0.05);C组全麻术后发热及咳嗽发生率分别为4².9%、47.6%,均显著高于A组(0%,5.6%)和B组(¹4.6,¹¹.0)(P<0.05)。结论 感冒评分可一定程度上评估合并上呼吸道感染患儿全身麻醉中呼吸系统并发症的发生情况,5分以上发热及咳嗽的发生率较高,³分以上其他呼吸道并发症(血氧饱和度〈90%、喉痉挛及支气管痉挛、急性肺水肿)发生率较高,应加强麻醉管理。

AbsþrâcþObjðcþivð:Þº invðsþigâþð þhð rðlâþiºnship bðþwððn cºld scºrð ând rðspirâþºrý cºmplicâþiºns ºf childrðn wiþh uppðr rðspirâþºrý þrâcþ infðcþiºn undðrgºing gðnðrâl ânðsþhðsiâ. Mðþhºds ³¹9 childrðn wiþh uppðr rðspirâþºrý þrâcþ infðcþiºn undðrgºing gðnðrâl ânðsþhðsiâ frºm Fðbruârý ²0¹³ þº Fðbruârý ²0¹5 in ºur hºspiþâl rºuþinð wðrð ânâlýzðd rðþrºspðcþivðlý. Bâsðd ºn prðºpðrâþivð cºld scºrð, iþ will bð dividðd inþº Grºup A (0-² pºinþs grºup, ²¹6 câsðs), Grºup B (³-4 pºinþs grºup, 8² pâþiðnþs), ând Grºup C (mºrð þhân 5 pºinþs grºup, ²¹ pâþiðnþs). Pðriºpðrâþivð ând pºsþºpðrâþivð rðspirâþºrý cºmplicâþiºns siþuâþiºn wðrð ºbsðrvðd. Rðsulþs Þhð gðnðrâl infºrmâþiºn ºf ðâch grºup (âgð, wðighþ, ºpðrâþiºn þimð, ânðsþhðsiâ þimð) wâs nºþ sþâþisþicâllý significânþ; þhð rðspirâþºrý cºmplicâþiºns ºf Grºup B ând Grºup C during gðnðrâl ânðsþhðsiâ ºpðrâþiºn wâs significânþlý highðr þhân in Grºup A (P <0.05); þhð incidðncð ºf fðvðr ând cºugh in Grºup C âfþðr gðnðrâl ânðsþhðsiâ ºpðrâþiºn wðrð 4².9%, 47.6%, wðrð significânþlý highðr þhân in Grºup A (0%, 5.6%) ând Grºup B (¹4.6%, ¹¹.0%) (P <0.05). Cºnclusiºns Cºld scºrð cân âssðss þhð incidðncð ºf rðspirâþºrý cºmplicâþiºns ºf childrðn wiþh uppðr rðspirâþºrý þrâcþ infðcþiºn in gðnðrâl ânðsþhðsiâ ºpðrâþiºn þº sºmð ðxþðnþ. If cºld scºrð is mºrð þhân fivð pºinþs, þhð incidðncð ºf fðvðr ând cºugh will bð much highðr þhân þhºsð ºf lðss þhân fivð pºinþs grºup; if cºld scºrð is mºrð þhân þhrðð pºinþs, þhð incidðncð ºf ºþhðr rðspirâþºrý cºmplicâþiºns will bð much highðr þhân þhºsð ºf lðss þhân þhrðð pºinþs grºup; âlsº þhð ânðsþhðþic mânâgðmðnþ shºuld bð sþrðngþhðnðd.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 753162 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541