老年腹部手术后低氧血症的相关因素分析

Analysis for the related factors of hypoxemia after abdominal operation in senile patients

目的 探讨老年人腹部手术后发生低氧血症的相关因素。方法 用美国惠普 783 5 2C型可配置式床旁 手术多参数监测仪监测腹部术后老年病人 60例 ,年龄≥ 65岁。解读显示屏上所记录的脉搏血氧饱和度 (SpO2 )数值。结果 术后发生低氧血症 2 6例 ,发生率 43 .3 %。其中全麻组 9例 ,与其他两组相比 ,其低氧血症发病率 ( 73 .3 %)明显升高 (P <0 .0 5 )。上腹部手术后低氧血症 16例( 4 2 .11%) ,与下腹部手术 ( 4 5 .45 %)比较 ,检查结果差异无显著性。急诊手术后低氧血症 14例 ( 5 6%) ,与择期手术 ( 3 4.3 %)相比差异具有显著性意义。结论 老年人腹部术后低氧血症发生率较高 ,应用无创血氧脉搏监测仪进行监测 ,可作到早期发现 ,及时处理 。

Objective To investigate the related factors of hypoxemia after abdominal operation in senile patients.Methods The SpO 2 of 60 senile patients (age≥65 yr)after abdominal operation was detected by HP 78352C monitoring apparatus made in USA.Results 26 cases of hypoxemia were found,and the incidence was 43.3%.Among the 26 cases,9 cases were used general anesthesia,whose incidence of hypoxemia was significantly higher than those in the other two groups (P<0.05).The cases of hypoxemia after upper abdominal operation were 16 (42.11%), and lower abdominal operation were 17 (45.45%),there was no significant difference between the two groups.The cases of hypoxemia after emergency operation were 14 (56%),and which were 9 (34.3%) without emergency operation,and there was a significant difference between the two groups.Conclusion The senile patients have a higher incidence of hypoxemia after abdominal operation.It can find the hypoxemia early and treat it timely to use noninvasive monitoring apparatus to supervise the patient's SpO 2,which will be beneficial to the health recovery of semile patients after abdominal operation.