摘要
目的 筛选新型冠状病毒感染患者行无痛消化内镜诊疗(painless gastrointestinal endoscopy, PGIE)术中呛咳的独立影响因素。方法 回顾性收集2022年12月-2023年4月苏北人民医院行PGIE术新型冠状病毒感染患者病例资料。围绕诊疗过程中发生的术中呛咳事件,采用多因素logistic回归分析法筛选其中的影响因素。结果 共纳入患者948例,共发生呛咳93例(9.8%)。多因素logistic回归分析结果显示,吸烟程度、咳嗽情况是呛咳的独立危险因素(P<0.05),PGIE类型为肠镜、感染至诊疗间隔天数>14 d是呛咳的独立保护因素(P<0.05)。结论 新型冠状病毒感染患者行PGIE时,应特别关注吸烟、咳嗽未愈等高危人群,并加强术中监测和防控措施的实施,以降低呛咳发生率,提高患者的诊疗安全。
Objective To determine the independent influencing factors of intraoperative choking during painless gastrointestinal endoscopy(PGIE)after coronavirus disease 2019(COVID-19).Methods The data of patients undergoing PGIE with COVID-19 in Northern Jiangsu People's Hospital between December 2022 and April 2023 were retrospectively collected.Multiple logistic regression analysis was used to screen the influencing factors of intraoperative coughing events that occurred during the diagnosis and treatment process.ResultssA total of948 patients were included,with 93(9.8%)cases of choking.The results of the multiple logistic regression analysis showed that smoking and unresolved cough were independent risk factors for coughing(P<0.05),while colonoscopy and infection duration beyond 14 days between diagnosis and treatment were independent protective factors for coughing(P<0.05).Conclusions When patients with COVID-19 undergoing PGIE,special attention should be paid to high-risk groups such as smoking and unresolved cough.It is necessary to strengthen intraoperative monitoring and implementation of prevention and control measures to reduce the incidence of coughing and improve the safety of diagnosis and treatment for patients.
作者
吉文宣
刘昕
高巨
JI Wenxuan;LIU Xin;GAO Ju(Department of Anesthesiology,the Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu 225001,P.R.China;Department of Anesthesiology,Northern Jiangsu People's Hospital,Yangzhou,Jiangsu 225001,P.R.China)
出处
《华西医学》
CAS
2024年第11期1738-1743,共6页
West China Medical Journal
基金
国家自然科学基金(82172190)
江苏省卫生健康委员会医学科研立项项目(M2021105)
“十四五”省医学学科/重点实验室建设单位基金(JSDW202230)
扬州市科学技术局科技计划项目(YZ20211148)。
关键词
新型冠状病毒感染
无痛消化内镜
术中呛咳
危险因素
保护因素
COVID-19
painless gastrointestinal endoscopy
intraoperative choking
risk factors
protective factors
作者简介
通信作者:高巨,Email:doctor2227@163.com。
