体重超重或肥胖患者容量控制通气肺氧合功能障碍Logistic分析.docVIP

体重超重或肥胖患者容量控制通气肺氧合功能障碍Logistic分析 　　[摘要] 目的 Logistic分析体重超重或肥胖患者术中容量控制通气下肺氧合功能障碍因变量，寻求容量控制通气肺氧合功能障碍相关危险因素。 方法 回顾性研究75例体重超重或者肥胖患者（容量控制通气下择期行非心脏手术）。所有患者均采用丙泊酚+瑞芬太尼复合顺阿曲库铵靶控静脉输注进行麻醉诱导和麻醉维持。所有患者进行容量控制通气。年龄、性别、体重、身高、潮气量、气道压力以及血气分析结果为因变量行术中肺氧合功能障碍Logistic分析。 结果 年龄、身高、潮气量三个因变量是术中肺氧合功能障碍相关危险因素（P 0.01）。年龄、身高、潮气量三个相关因素的优势比（OR）分别是0.91、1 012 604.00、0.98。年龄、身高、潮气量三个相关因素的β系数：-0.09、13.83、-0.02。 结论 通过调节潮气量来干预容量控制通气肺氧合功能障碍，更有临床指导意义。 　　[关健词] 容量控制通气；肺氧合功能障碍；Logistic分析 　　[中图分类号] R614 [文献标识码] C [文章编号] 1673-7210（2014）02（c）-0140-04 　　Logistic regression analysis of overweight or obese patients pulmonary oxygenation dysfunction under volume controlled ventilation 　　WEI Ke1 DENG Jun1▲ HUANG Shiying1 LIU Jingchen2 YANG Ruimin2 　　1.Department of Anaesthesiology， the Affiliated Hospital of Youjiang Medical College， Guangxi Zhuang Autonomous Region， Baise 533000， China； 2.Department of Anaesthesiology， the First Affiliated Hospital of Guangxi Medical University， Guangxi Zhuang Autonomous Region， Nanning 530021， China 　　[Abstract] Objective To seek related dangerously factors in pulmonary oxygenation dysfunction under volume controlled ventilation by Logistically analyzing defend variables that were to be induced pulmonary oxygenation under volume controlled ventilation dysfunction. Methods 75 cases of overweight or obese patients which were undergone elective no-cardiac operation with volume controlled ventilation were retrospectively studied. During anesthesia induction and anesthesia maintenance， Propofol and Remifentanil were perfused by target-controlled infusion in all patients. cisatracurium was intermittently infused by vein. After laryngoscope intubation， volume controlled ventilation was begun in all patients. Dependent variables including age， sex， weight， height， tidal volume， PAW， and blood gas analysis results were Logistic analyzed for intra-operative pulmonary dysfunction. Results Age， height， tidal volume of the dependent variable were intra-operative pulmonary oxygena