胃癌术后苏醒延迟的危险因素分析

Analysis of Risk Factors for Delayed Resuscitation After Gastric Cancer

目的探讨胃癌术后苏醒延迟的危险因素。方法回顾性分析行手术治疗的98例胃癌患者的临床资料,分析胃癌术后苏醒延迟的危险因素。结果胃癌术后苏醒延迟发生率为10.20%(10/98);单因素分析显示:年龄、饮酒史、贫血、手术时间、术中平均体温、术中丙泊酚用量、术中输液量与胃癌术后苏醒延迟有关(P<0.05);性别、体重指数、吸烟史、合并慢性支气管炎、合并糖尿病、手术方式、麻醉深度监测、术中输血、吸入复合七氟烷与胃癌术后苏醒延迟无关(P>0.05);多因素分析显示:年龄≥60岁、饮酒史、贫血、手术时间≥4 h、术中平均体温<36.4℃、术中丙泊酚用量≥1800 mg、术中输液量≥3000 mL是胃癌术后苏醒延迟的高危因素(P<0.05)。结论胃癌术后苏醒延迟与年龄、饮酒史、贫血、手术时间、术中平均体温、术中丙泊酚用量、术中输液量有关。

Objective To investigate the risk factors for delayed postoperative recovery in gastric cancer.Methods The clinical data of 98 gastric cancer patients were retrospectively analyzed,and the risk factors for delayed resuscitation after gastric cancer were analyzed.Results The incidence of resuscitation delay after gastric cancer was 10.20%(10/98);Univariate analysis showed that age,alcohol consumption history,anemia,operation time,intraoperative mean body temperature,intraoperative amount of propofol,and intraoperative amount of infusion were related to the delay of postoperative recovery of gastric cancer,the differences were statistically significant(P0.05);Multivariate analysis showed that age ≥60 years,drinking history,anemia,≥4 h,mean body temperature <36.4℃,≥1800 mg,of propofol ≥3000 mL are the high risk factors for delayed awakening after gastric cancer(P<0.05).Conclusion Late awakening after gastric cancer is related to age,drinking history,anemia,operation time,intraoperative mean body temperature,intraoperative amount of propofol,and intraoperative amount of infusion.