门诊无痛胃镜患者术后疲劳综合征的危险因素

Risk factors for postoperative fatigue syndrome in outpatients with painless gastroscopy

目的筛选门诊无痛胃镜患者术后疲劳综合征(POFS)的危险因素。方法择本院2016年10月至2017年2月行无痛胃镜检查的门诊患者。通过回顾相关文献总结出可能与POFS相关的影响因素,通过术前面询、术中记录、电话随访等方法填写调查问卷,对POFS的发生、评分、转归进行评估。根据是否出现POFS将患者分为POFS组(Ⅰ组)和非POFS组(Ⅱ组)。将组间比较差异有统计学意义的因素,进行多因素logistic回归分析,筛选危险因素。结果共246例完成研究。69例发生POFS,发生率28.0%,初始疲劳评分(5.2±2.4)分,POFS持续时间3(9)h。丙泊酚平均用量(按麻醉时间,mg/min)是POFS的独立危险因素。结论丙泊酚平均用量是无痛胃镜患者POFS的独立危险因素。

Objective To identify the risk factors for postoperative fatigue syndrome(POFS)in outpatients with painless gastroscopy.Methods The outpatients received painless gastroscopy from October 2016 to February 2017 in our hospital were included in this study.The possible factors related to POFS were summarized by reviewing the relevant literature.The questionnaires were completed by the methods such as preoperative interview,intraoperative recording,and telephone follow-up.POFS occurrence,score and outcomes were evaluated.The patients were divided into POFS group(groupⅠ)and non-POFS group(groupⅡ)according to whether POFS occurred.The risk factors of which P values were less than 0.05 would enter the multivariate logistic regression analysis to stratify the risk factors.Results Two hundred and forty-six patients completed this study.Sixty-nine cases developed POFS,and the incidence was 28.0%,the initial fatigue score was(5.2±2.4),and the duration of POFS was 3(9)h.The mean consumption of propofol(according to anesthesia time,mg/min)was an independent risk factor for POFS.Conclusion The mean consumption of propofol is an independent risk factor for POFS in outpatients with painless gastroscopy.