Analysis of risk factors for the occurrence of POV in children following day surgery
Objective To analyze the risk factors for the occurrence of postoperative vomiting(POV)in children following day surgery.Methods The clinical data of 8974 pediatric patients with day surgery was retrospectively analyzed.Results Among the 8974 children,6736 were male and 2238 were female.The mean age was(5.43±2.82)years.Types of surgery include otolaryngology,general surgery,urology,orthopedics,ophthalmology and stomatology.The average duration of anesthesia was(37.65±31.94)min,and the average operation time was(26.60±30.08)min.468 children(5.2%)with POV were included in the vomiting group,and the remaining 8506 patients were included in the non-vomiting group.There were no significant differences in age,age group,gender,operation time,anesthesia time,anesthesia mode(tracheal intubation/laryngeal mask airway insertion),and surgical type(otolaryngology,general surgery,urology,orthopedics,stomatology surgery)between vomiting group and non-vomiting group(P>0.05).The proportion of eye surgery in vomiting group was 2.6%,which was lower than 5.9%in non-vomiting group;the proportion of laparoscopic surgery was 29.5%,and the proportion of surgery after 13 o'clock was 53.6%,which was higher than 23.8%and 48.2%in non-vomiting group.The difference was statistically significant(P<0.05).Variables with P<0.05 in the univariate test,including laparoscopic surgery,surgery after 13 o'clock,and eye surgery,were included in the multivariate Logistic regression analysis.The results showed that laparoscopic surgery was an independent risk factor for POV(OR=1.29,P=0.017<0.05),and eye surgery was a protective factor for POV(OR=0.46,P=0.011<0.05).Conclusion Laparoscopey is an independent risk factor for the occurrence of POV in pediatric patients following day surgery.When assessing the risk of POV in pediatric patients,surgical modalities need to be taken into account.
万方数据
维普
