极重度脊柱侧凸矫形术中唤醒质量的影响因素分析

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Abstract Objective To investigate the risk factors influencing the quality of intraoperative wake-up test undergoing scoliosis surgery.Methods The clinical data of 513 patients with extremely severe scoliosis between January 2013 and April 2018 were reviewed.Among them，196 were male and 317 were female；age ranged from 13 to 34 years，with a mean of (28.5±4.1) years.The mean preoperative main curve Cobb angle of the patients was (137.5±26.8)°.A total of 18 potential factors associated with poor quality of intraoperative wake-up test were evaluated by univariate analysis and multivariate logistic regression analysis.Results The univariate analysis showed that forced expiratory volume in one second(FEV-1)，ratio of forced expiratory volume in one second to forced vital capacity (FEV-1/FVC)，body temperature，arterial CO-2 partial pressure(PaCO-2)，hemoglobin(Hb) were significantly influenced the quality of intraoperative wake-up test (P＜0.05).Multivariate logistic regression analysis showed that body temperature (OR=1.973，95%CI：1.817~4.129，P＜0.05)，PCO-2 (OR=15.561，95%CI：6.278~33.368，P＜0.05)，Hb (OR=6.413，95%CI：3.460~14.653，P＜0.05) were independent risk factors for the quality of intraoperative wake-up test undergoing scoliosis surgery.Conclusion Body temperature，PaCO-2，Hb are independent risk factors for the quality of intraoperative wake-up test undergoing scoliosis surgery.

Key words： extremely severe scoliosis intraoperative wake-up test risk factor

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	Articles by authors
	Li Qiang 1
	Zeng Fei 2
	Chen Tao 1
	Lei Xue 1
	Liang Mengqiu 1
	Liang Yijian 3
	Zheng Chuandong 1*

Cite this article:

Li Qiang 1,Zeng Fei 2,Chen Tao 1, et al. Risk Factors Influencing Quality of Intraoperative Wake-up Test for Extremely Severe Scoliosis Surgery[J]. sygkzz, 2022, 27(2): 103-108.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V27/I2/103

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