中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
18期
2469-2470
,共2页
气管拔管%通气障碍%危险因素%老年人
氣管拔管%通氣障礙%危險因素%老年人
기관발관%통기장애%위험인소%노년인
Tracheal extubation%Dyspnea%Risk factors%Aged
目的 探讨老年全身麻醉患者气管拔管后通气障碍的危险因素。方法 全身麻醉下择期手术老年患者280例，常规麻醉诱导及维持，术毕根据临床拔管指征拔除气管导管。记录拔除导管后通气障碍发生情况。将患者分为通气障碍和无通气障碍两组。分别对两组患者12个术前变量、10个术中变量和6个毕变量进行比较。结果 气管拔管后通气障碍的发生率为8.6％。BMI ≥25 kg/m2、合并肺部疾病及术后未给予肌松拮抗（新斯的明）与拔管后通气障碍的发生密切相关。结论 BMI≥25 kg/m2、合并肺部疾病及术后未给予肌松拮抗是老年患者气管拔管后通气障碍的危险因素。
目的 探討老年全身痳醉患者氣管拔管後通氣障礙的危險因素。方法 全身痳醉下擇期手術老年患者280例，常規痳醉誘導及維持，術畢根據臨床拔管指徵拔除氣管導管。記錄拔除導管後通氣障礙髮生情況。將患者分為通氣障礙和無通氣障礙兩組。分彆對兩組患者12箇術前變量、10箇術中變量和6箇畢變量進行比較。結果 氣管拔管後通氣障礙的髮生率為8.6％。BMI ≥25 kg/m2、閤併肺部疾病及術後未給予肌鬆拮抗（新斯的明）與拔管後通氣障礙的髮生密切相關。結論 BMI≥25 kg/m2、閤併肺部疾病及術後未給予肌鬆拮抗是老年患者氣管拔管後通氣障礙的危險因素。
목적 탐토노년전신마취환자기관발관후통기장애적위험인소。방법 전신마취하택기수술노년환자280례，상규마취유도급유지，술필근거림상발관지정발제기관도관。기록발제도관후통기장애발생정황。장환자분위통기장애화무통기장애량조。분별대량조환자12개술전변량、10개술중변량화6개필변량진행비교。결과 기관발관후통기장애적발생솔위8.6％。BMI ≥25 kg/m2、합병폐부질병급술후미급여기송길항（신사적명）여발관후통기장애적발생밀절상관。결론 BMI≥25 kg/m2、합병폐부질병급술후미급여기송길항시노년환자기관발관후통기장애적위험인소。
Objective To investigate the risk factors for airway management after tracheal extubation in old patients. Methods 280 patients underwent general anesthesia were enrolled in the study. The procedure of anesthesia induction and maintenance were in the routine method. The patients were with tracheal extubation under clinical standards after operation. Dyspnea was recorded after tracheal extubation. They were divided into dyspnea group and general group. Twelve perioperative variables, ten variables in operation and six post-operative variables of two groups were compared respectively. Results The incidence of dyspnea after tracheal extubation was 8.6％. Analysis identified that obesity( BMI ≥25kg/m2 ), preoperative lung disease and without postoperative neostigmine were the significant risk factors for dyspnea. Conclusion BMI≥25kg/m2 ,preoperative lung disease and without antagonist muscular relaxant were the main risk factors for dyspnea after tracheal extubation in old patients.
