机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间的影响因素分析

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中图分类号 R614文献标识码 A文章编号 2096-7721（2025）04-0591-05

Influencing factors on post-anesthesia care unit monitoring and treatment time in patients undergoing robot-assisted vertebroplasty

SUN Ziqiao1，XIANG Miaomiao2，CAI Yuehong'，SHENQiyingl，BAI Lin （1.Deparmntsilo；2pttstdspialofdilUesiy

AbstractObjective：Toinvestigatethefactorsinfluencingprolongedpost-anesthesiacareunit （PACU）monitoringandtreatmenttie inpatientsudegogobasistederteboplastyMtods：Clcaldataof6atitsoundeentbotasstdveoasty attheFirstAfliaedHospitalofAnuMedicalUnivesityfroDecember223toSeptember224wereretrospctivelyanalyedBased onPACU monitoring duration， patients were divided into the prolonged group（ n = 19）and the non-prolonged group （ n 47）. Data including gender，age，，aacfuconsiicanAAasiaioneoeraiemoieseeticogedie timewerecomparedbetweenthetwogroupsofpatients.Variables with statisticalsignificancewerefurtheranalyzedusingunivariate andmultivariateLogisticregresion.Results：Comparedtothenon-prolongedgroup，theprolongedgrouphadoldermeanage，igher proportion of hypertensive patients，and lower preoperative BMI and baseline levels upon PACU admission （ P <0.05）. Univariate Logistic regression identified age，BMI，and baseline as factors associated with prolonged PACU time. Multivariate analysis revealed BMI and baseline as independent predictors of prolonged PACU monitoring （ P <0.05）.Receiver operating characteristic （ROC） curve analysis demonstrated that BMI and baseline had area under the curve （AUC） values of O.723 and O.681， respectively， indicating their predictive value for prolonged PACU time. Conclusion： Low preoperative BMI and reduced baseline are associated with prolonged PACU monitoringand treatmenttimeafterrobot-asistedvertebroplasty.Clinical practiceshouldemphasizeenhancedanesthetic monitoringandmanagement，aongwithimprovingpreoperativenutrionalstatusandrespiratoryfunctiontooptiizesurgicalety. Key WordsVertebroplasty； Robot-assisted Surgery； Post-Anesthesia Care Unit； Influencing Factor

椎体成形术是一种治疗胸腰椎压缩骨折的主要手术方式，根据是否使用球囊扩张又可分为经皮椎体成形术和经皮椎体后凸成形术[1-2]。（剩余8359字）