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妇科患者术后恶心呕吐相关因素的临床分析

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目的:分析妇科患者术后恶心呕吐(PONV)的发生率及相关危险因素.方法:254例妇科手术患者,根据年龄、镇痛方式、禁食时间、手术方式进行分组,观察术后48 h内不同时段患者恶心呕吐的发生情况,分类统计分析各相关因素.结果:妇科患者PONV的总发生率为59.06%.PONV主要发生在术后24 h内,术后6 h内为高发段;患者的年龄、手术方式、禁食时间不影响PONV的发生率;持续镇痛组PONV发生率高于无持续镇痛组(P<0.05);镇痛效果不影响PONV的发生率,持续镇痛组术后更容易发生频繁呕吐(P<0.01).结论:PONV发生率高,与镇痛关系明显.
Clinical analysis of risk factors for postoperative nausea and vomiting after gynecological surgery
AIM:To analyze the incidence and risk factors of postoperative nausea and vomiting(PONV)in patients undergoing gynecological surgery.METHODS:A total of 254 patients undergoing gynecologic surgery were selected.The groups of patients were carried out depending on age,analgesic ways,the duration of fast and operation.The frequency of the nausea and vomiting within 48 h postoperative was evaluated and made statistical analysis.RESULTS:The incidence of PONV was 59.06%,higher in the first postoperative 24 h and reached a peak in the first postoperative 6 h.Age,duration of surgery and fast had no influence on PONV frequency.Patients who received continuous postoperative analgesia had a higher frequency of PONV.But there was no difference between the well postoperative analgesia cases and the poor ones in PONV frequency.Continuous analgesia groups were more prone to frequent vomiting.CONCLUSION:The incidence of PONV was high and obviously affected by analgesia.This result is helpful to the further prevention and treatment research.

PONVgynecologyrisk factorsPCA

沈中顺、侯炯

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吉林市第二中心医院麻醉科,吉林,吉林,132001

第二军医大学长海医院麻醉科,上海,200433

术后恶心呕吐 妇科手术 危险因素 术后镇痛

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(21)
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