機(jī)器人輔助椎體成形術(shù)后患者麻醉恢復(fù)室監(jiān)測(cè)治療時(shí)間的影響因素分析

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中圖分類(lèi)號(hào) R614文獻(xiàn)標(biāo)識(shí)碼 A文章編號(hào) 2096-7721(2025)04-0591-05
Influencing factors on post-anesthesia care unit monitoring and treatment time in patients undergoing robot-assisted vertebroplasty
SUN Ziqiao1,XIANG Miaomiao2,CAI Yuehong',SHENQiyingl,BAI Lin (1.Deparmntsilo;2pttstdspialofdilUesiy
AbstractObjective:Toinvestigatethefactorsinfluencingprolongedpost-anesthesiacareunit (PACU)monitoringandtreatmenttie inpatientsudegogobasistederteboplastyMtods:Clcaldataof6atitsoundeentbotasstdveoasty attheFirstAfliaedHospitalofAnuMedicalUnivesityfroDecember223toSeptember224wereretrospctivelyanalyedBased onPACU monitoring duration, patients were divided into the prolonged group( n = 19)and the non-prolonged group ( n 47). Data including gender,age,,aacfuconsiicanAAasiaioneoeraiemoieseeticogedie timewerecomparedbetweenthetwogroupsofpatients.Variables with statisticalsignificancewerefurtheranalyzedusingunivariate andmultivariateLogisticregresion.Results:Comparedtothenon-prolongedgroup,theprolongedgrouphadoldermeanage,igher proportion of hypertensive patients,and lower preoperative BMI and baseline levels upon PACU admission ( P <0.05). Univariate Logistic regression identified age,BMI,and baseline as factors associated with prolonged PACU time. Multivariate analysis revealed BMI and baseline as independent predictors of prolonged PACU monitoring ( P <0.05).Receiver operating characteristic (ROC) curve analysis demonstrated that BMI and baseline had area under the curve (AUC) values of O.723 and O.681, respectively, indicating their predictive value for prolonged PACU time. Conclusion: Low preoperative BMI and reduced baseline are associated with prolonged PACU monitoringand treatmenttimeafterrobot-asistedvertebroplasty.Clinical practiceshouldemphasizeenhancedanesthetic monitoringandmanagement,aongwithimprovingpreoperativenutrionalstatusandrespiratoryfunctiontooptiizesurgicalety. Key WordsVertebroplasty; Robot-assisted Surgery; Post-Anesthesia Care Unit; Influencing Factor
椎體成形術(shù)是一種治療胸腰椎壓縮骨折的主要手術(shù)方式,根據(jù)是否使用球囊擴(kuò)張又可分為經(jīng)皮椎體成形術(shù)和經(jīng)皮椎體后凸成形術(shù)[1-2]。(剩余8359字)