目的：探讨机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间延长的相关影响因素。方法：回顾性分析 2023 年 12 月—2024 年 9 月安徽医科大学第一附属医院行机器人辅助椎体成形术的 66 例患者临床资料，根据麻醉恢复室监测治疗时 间长短，分为延长组（n=19）和非延长组（n=47）。收集并分析两组患者性别、年龄、BMI、心功能分级、ASA 分级、术前 合并症、麻醉用药、手术时间等相关资料，筛选有统计学差异的变量再进行 Logistic 单因素、多因素回归分析。结果：与非 延长组相比，延长组患者平均年龄更大，合并高血压患者占比更高，术前 BMI、入室 SpO2 更低（P<0.05）。单因素 Logistic 回归分析示年龄、BMI、入室 SpO2 与患者麻醉恢复室监测治疗时间延长相关；多因素 Logistic 回归分析示 BMI 和入室 SpO2 是影响机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间延长的独立影响因素（P<0.05）；ROC 曲线分析显示，BMI、 入室 SpO2 曲线下面积 （AUC）分别为 0.723、0.681，提示 BMI、入室 SpO2 对机器人辅助椎体成形术后患者麻醉恢复室监测 治疗时间有一定预测价值。结论：术前低BMI和入室时低SpO2会延长机器人辅助椎体成形术后患者麻醉恢复室监测治疗时间， 临床实践中需加强麻醉监测及管理，改善患者术前营养状况及呼吸功能，进一步提高手术安全性。

Objective: To investigate the factors influencing prolonged post-anesthesia care unit (PACU) monitoring and treatment time in patients undergoing robot-assisted vertebroplasty. Methods: Clinical data of 66 patients who underwent robot-assisted vertebroplasty at the First Affiliated Hospital of Anhui Medical University from December 2023 to September 2024 were retrospectively analyzed. Based on PACU monitoring duration, patients were divided into the prolonged group (n=19) and the non-prolonged group (n=47). Data including gender, age, BMI, cardiac function classification, ASA classification, preoperative comorbidities, anesthetic dosage, and operative time were compared between the two groups of patients. Variables with statistical significance were further analyzed using univariate and multivariate Logistic regression. Results: Compared to the non-prolonged group, the prolonged group had older mean age, higher proportion of hypertensive patients, and lower preoperative BMI and baseline SpO2 levels upon PACU admission (P<0.05). Univariate Logistic regression identified age, BMI, and baseline SpO2 as factors associated with prolonged PACU time. Multivariate analysis revealed BMI and baseline SpO2 as independent predictors of prolonged PACU monitoring (P<0.05). Receiver operating characteristic (ROC) curve analysis demonstrated that BMI and baseline SpO2 had area under the curve (AUC) values of 0.723 and 0.681, respectively, indicating their predictive value for prolonged PACU time. Conclusion: Low preoperative BMI and reduced baseline SpO2 are associated with prolonged PACU monitoring and treatment time after robot-assisted vertebroplasty. Clinical practice should emphasize enhanced anesthetic monitoring and management, along with improving preoperative nutritional status and respiratory function to optimize surgical safety.

基金项目：安徽省高校优秀青年人才支持项目（gxyqfx2022010） 

Foundation Item: Excellent Young Talents Supporting Project in Colleges and Universities of Anhui Province(gxyqfx2022010) 

引用格式：孙子乔，相苗苗，蔡月红，等 . 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 [J]. 机器人外科学杂志（中 英文），2025，6（4）：591-595. 

Citation: SUN Z Q, XIANG M M, CAI Y H, et al. Influencing factors on post-anesthesia care unit monitoring and treatment time in patients  undergoing robot-assisted vertebroplasty [J]. Chinese Journal of Robotic Surgery, 2025, 6(4): 591-595. 

通讯作者（Corresponding Author）：相苗苗（XIANG Miaomiao），Email：xmm160608@163.com

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