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全身麻醉苏醒期苏醒延迟风险因素分析
作者:刘丹丹  孙杰  王宏 
单位:东南大学附属中大医院, 江苏 南京 210009
关键词:全身麻醉 苏醒期 苏醒延迟 风险因素分析 
分类号:R614.2
出版年·卷·期(页码):2025·53·第一期(75-79)
摘要:

目的: 探究苏醒延迟的相关危险因素,为临床有效预防苏醒延迟提供依据。方法: 回顾性分析2022年1月至12月在我院麻醉恢复室发生苏醒延迟的病例,利用Logistic回归筛选苏醒延迟的独立危险因素;最终纳入观察组患者129例,对照组患者258例,分析自变量17个。结果: Logistic回归分析示,美国麻醉医师协会体格情况分级系统(ASA)分级Ⅲ级(P<0.001)、麻醉时间(P<0.007)、麻醉药物用量(舒芬太尼)(P<0.001)、入量(晶体)(P<0.001)、手术类型(P<0.001)为苏醒延迟的独立危险因素。结论: 患者的ASA分级和手术类型无法改变,但在临床工作中可以对麻醉时间、麻醉药物用量和入量等影响苏醒延迟的危险因素进行积极干预,以减少苏醒延迟的发生。

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