背景:本研究旨在了解全身麻醉后患者口干和口渴的程度,并找出影响它们的因素。
方法:本研究纳入2021年8月至2021年11月接受全身麻醉后转入大连医科大学附属第二医院麻醉后监护病房(PACU)的所有患者。口渴数字评分量表被用来进行调查,能够评估口渴的发生率和强度。进行统计分析以探讨患者口渴水平和相关因素。
结果:研究显示口渴发生率为50.8%。在口渴强度等级中,71.4%的患者出现轻度口渴,23.0%报告中度口渴,5.6%的人表示严重口渴。对纳入病例的潜在危险因素进行单因素统计分析,结果显示性别、冠心病史,手术时间,术中液体量,术中失血,术中尿量,不同的外科部门与全身麻醉患者的麻醉后口渴有关。多因素Logistic回归分析突出年龄,性别,冠心病史,禁食持续时间,术中液体量是全身麻醉患者麻醉后口渴的独立危险因素。此外,年龄,性别,冠心病史,术中液体量也被确定为不同程度口渴的危险因素。
结论:全麻后麻醉后口渴的发生率和强度相对较高。它们的发生与年龄密切相关,性别,冠心病史,禁食持续时间,术中液体量。
BACKGROUND: This study aims to comprehend the levels of dry mouth and
thirst in patients after general anesthesia, and to identify the factors influencing them.
METHODS: The study included all patients transferred to the Post Anesthesia Care Unit (PACU) at the Second Affiliated Hospital of Dalian Medical University between August 2021 and November 2021 after undergoing general anesthesia. A
thirst numeric rating scale was utilized to conduct surveys, enabling the assessment of
thirst incidence and intensity. Statistical analysis was performed to explore patient thirst levels and the associated factors.
RESULTS: The study revealed a
thirst incidence rate of 50.8%. Among the
thirst intensity ratings, 71.4% of patients experienced mild
thirst, 23.0% reported moderate
thirst, and 5.6% expressed severe
thirst. Single-factor statistical analysis of potential risk factors among the enrolled cases indicated that gender, history of coronary heart disease, surgical duration, intraoperative fluid volume, intraoperative blood loss, intraoperative urine output, and different surgical departments were linked to post-anesthetic thirst in patients undergoing general anesthesia. Multifactorial Logistic regression analysis highlighted age, gender, history of coronary heart disease, fasting duration, and intraoperative fluid volume as independent risk factors for post-anesthetic thirst in patients undergoing general anesthesia. Moreover, age, gender, history of coronary heart disease, and intraoperative fluid volume were also identified as risk factors for varying degrees of thirst.
CONCLUSIONS: The incidence and intensity of post-anesthetic thirst after general anesthesia are relatively high. Their occurrence is closely associated with age, gender, history of coronary heart disease, fasting duration, and intraoperative fluid volume.