感冒评分对患儿术中、术后呼吸系统并发症的预测作用

The prediction effect of cold score on intraoperative and postoperative respiratory complications in children

目的：探讨感冒评分与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,82例）和C组（5分以上,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）差异无统计学意义（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。

Objective： To investigate the relationship between cold score and respiratory complications of children with upper respiratory tract infection undergoing general anesthesia. Methods： 319 children with upper respiratory tract infection undergoing general anesthesia from February 2013 to February 2015 in our hospital were analyzed retrospectively. Based on preoperative cold score,they were divided into group A（ 0-2 points,216 cases）,group B（ 3-4 points,82 cases）,and group C（ more than 5 points,21 cases）. Perioperative and postoperative respiratory complications were observed. Results： The general information of each group（ age,weight,operation time,anesthesia time） had no statistical differences; the respiratory complications in group B and group C during general anesthesia operation were significantly higher than that in group A（ P 〈 0. 05）; the incidences of fever and cough in group C after general anesthesia operation were 42. 9%,47. 6%,which were significantly higher than those in group A（ 0,5. 6%） and group B（ 14. 6%,11. 0%）（ P 〈 0. 05）. Conclusion： Cold score can assess the incidence of respiratory complications of children with upper respiratory tract infection in general anesthesia operation to some extent. If cold score is more than five points,the incidences of fever and cough will be much higher than those of less than five points group; if cold score is more than three points,the incidences of other respiratory complications will be much higher than those of less than three points group; also the anesthetic management should be strengthened.