某教学医院恶心呕吐危险因素预测及其与麻醉的关系

Subhi M. Alghanem, Muayyad M. Ahmad, I. Qudaisat, Walid Samarah, Khaled R. Al‐zaben, Sami A. Abu Halaweh, O. Ababneh, Fathi Abu Masaid, Fadi Qutishat, Zaineh Altabari, A. Obeidat, Qusai Alamoudi, M. Zoubi
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引用次数: 3

摘要

目的:本研究旨在估计术后恶心呕吐(PONV)的发生率,并探讨增加PONV发生的危险因素。方法:采用前瞻性研究设计,观察术后24小时恶心和呕吐情况,为期6个月。研究样本由2398名年龄在1至87岁之间的患者组成。采用卡方回归和逻辑回归确定预测PONV的危险因素。结果:恶心747例(31.2%),呕吐268例(11.2%)。麻醉时间超过60分钟的女性患者在恢复室和术后24小时呕吐较多。女性患者在恢复期及后24小时呕吐较多;而那些麻醉超过60分钟的患者,以及术后服用阿片类药物的患者,在术后24小时内呕吐更多。女性性别、术后阿片类药物和麻醉时间超过60分钟是恶心的预测危险因素;而女性和麻醉时间超过60分钟是呕吐的预测危险因素。结论:女性、术后阿片类药物的使用和麻醉时间是PONV最重要的预测危险因素。不吸烟、既往PONV病史和麻醉类型均不是PONV的危险因素。*通讯:约旦大学护理学院临床护理系Muayyad Ahmad, 1942年,约旦,电话:962799313745;传真:96265300244;电子邮件:mma4@ju.edu.jo和mma4jo@yahoo.com
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of nausea and vomiting risk factors and its relation to anesthesia in a teaching hospital
Purpose: This study was conducted to estimate the incidence of postoperative nausea and vomiting (PONV) and to explore the risk factors that increase the development of PONV. Methods: A prospective study design was used to observe nausea and vomiting 24 hours postoperatively, over a 6-month period. The study sample was composed of 2,398 patients aged between 1 and 87 years. Chi-square and logistic regression were used to identify the risk factors for predicting PONV. Results: A total of 747 patients (31.2%) suffered from nausea, and 268 patients (11.2%), suffered from vomiting. Female patients and who received anesthesia more than 60 minutes, nauseated more in the recovery room and 24 hours after surgery. Female patients vomited more in the recovery and later during 24 hours; and those who received anesthesia more than 60 minutes, and who received postoperative opioids have vomited more during 24 hours after surgery. Female gender, postoperative opioids and anesthesia duration more than 60 minutes are predictive risk factors for nausea; while female gender and duration of anesthesia more than 60 minutes are predictive risk factors for vomiting. Conclusions: Female gender, use of postoperative opioids and duration of anesthesia are the most important predictive risk factors for PONV. Nonsmoking status, previous history of PONV and type of anesthesia were not found as risk factors for PONV. *Correspondence to: Muayyad Ahmad, Department of Clinical Nursing, School of Nursing, University of Jordan, 11942, Jordan, Tel: 962799313745; Fax: 96265300244; E-mail: mma4@ju.edu.jo/mma4jo@yahoo.com
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