Influencing factors analysis of shivering during anesthetic recovery period in patients with thoracolaparoscopic combined esophageal cancer radical operation
10.3969/j.issn.1671-8348.2024.14.019
- VernacularTitle:胸腹腔镜联合食管癌根治术患者麻醉苏醒期寒战的影响因素分析
- Author:
Ting WANG
1
;
Jian WANG
;
Xiaorong YIN
Author Information
1. 四川大学华西医院麻醉科,成都 610000;四川大学华西护理学院,成都 610000
- Keywords:
esophageal cancer radical operation;
anesthetic recovery period;
shivering;
influencing factor
- From:
Chongqing Medicine
2024;53(14):2177-2181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors of shivering during anesthesia recovery in the patients with thoracolaparoscopic combined esophageal radical operation.Methods The related clinical da-ta in 298 patients with thoracolaparoscopic esophageal cancer radical operation in West China Hospital of Si-chuan University during 2019-2021 were retrospectively analyzed.The patients were divided into the shive-ring group (n=67) and non-shivering group (n=231) according to whether or not having shivering during the anesthetic recovery period.The univariate chi-square testing and binary logistic regression were used to an-alyze the independent risk factors for shivering occurrence.Results The univariate and multivariate logistic regression analysis results showed that the gender,age,intraoperative body temperature,anesthesia duration,intraoperative sufentanil dosage,postoperative pain score and intraoperative consumption of cisatracurium benzenesulfonate had statistical differences between the two groups (P<0.05).The multivariate logistic re-gression analysis results showed that the age≥60 years old (OR=3.124),intraoperative body temperature<36 ℃ (OR=2.994),anesthetic duration>6 h (OR=0.204),postoperative pain score≥5 points (OR=7.514),intraoperative cisatracurium benzenesulfonate dosage≥25 mg (OR=2.317),intraoperative remifentanil dosage≤45 μg (OR=5.466) were the independent risk factors for shivering occurrence during the anesthetic recovery period in the patients with thoracolaparoscopic combined esophageal radical operation (P<0.05).Conclusion There are several independent risk factors for shiver occurrence in the patients with thoracolaparoscopic combined e-sophageal cancer radical operation.
