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目的:探讨感冒评分与合并上呼吸道感染患儿全身麻醉中呼吸系统并发症的关系。方法:选取2013年2月至2015年2月我院收治的319例行全身麻醉手术患儿进行回顾性分析,根据术前感冒评分将其分为A组(0~2分,216例)、B组(3~4分,82例)和C组(5分以上,21例),观察手术期及术后呼吸系统并发症的情况。结果:各组一般资料(年龄、体重、手术时间、麻醉时间)差异无统计学意义(P>0.05);B组和C组全麻术中呼吸道并发症显著高于A组(P<0.05);C组全麻术后发热及咳嗽发生率分别为42.9%、47.6%,均显著高于A组(0、5.6%)和B组(14.6%、11.0%)(P<0.05)。结论:感冒评分可一定程度上评估合并上呼吸道感染患儿全身麻醉中呼吸系统并发症的发生情况,5分以上发热及咳嗽的发生率较高,3分以上其他呼吸道并发症(血氧饱和度<90%、喉痉挛及支气管痉挛、急性肺水肿)发生率较高,应加强麻醉管理。
Objective: To investigate the relationship between cold score and respiratory complications in general anesthesia in children with upper respiratory tract infection. Methods: A total of 319 children undergoing general anesthesia admitted to our hospital from February 2013 to February 2015 were retrospectively analyzed. According to the preoperative cold score, they were divided into group A (0-2 points, 216 cases) Group B (3-4 points, 82 cases) and Group C (more than 5 points, 21 cases). The complication of operation and postoperative respiratory system were observed. Results: There was no significant difference in the general data (age, weight, operation time, anesthesia time) between the two groups (P> 0.05). The complications of general anesthesia in group B and group C were significantly higher than those in group A (P <0.05) ; The incidence of fever and cough after CAG was 42.9% and 47.6% respectively in group C, which were significantly higher than those in group A (0, 5.6%) and group B (14.6%, 11.0%) (P <0.05). Conclusion: The cold score can assess the occurrence of respiratory complications in general anesthesia in children with upper respiratory tract infection to a certain extent. The incidence of fever and cough is higher than 5 points, and other respiratory complications (oxygen saturation <90%, laryngospasm and bronchospasm, acute pulmonary edema) a higher incidence, should enhance anesthesia management.