女性患者腹腔镜胆囊切除术后恶心、呕吐原因分析  

Analysis of the Causes of Female Patients with Nausea and Vomiting after Laparoscopic Cholecystectomy

作　　者：李恩[1] 吴祖光[1] 李志旺[1] 

机构地区：[1]广东省梅州市人民医院胃肠外一科,广东梅州514031

出　　处：《吉林医学》2015年第15期3251-3252,共2页Jilin Medical Journal

摘　　要：目的:探讨女性患者腹腔镜胆囊切除术后恶心、呕吐发生的原因。方法:选取行腹腔镜胆囊切除术的女性患者157例患者,分为PONV组(69例)和N-PONV组(88例),记录术后48 h内患者恶心、呕吐情况,将其与患者年龄、手术时间、体重指数、血脂、手术日所处月经周期、外周静脉血性激素水平、术后镇痛药物使用情况等因素进行统计学分析。结果:两组患者在体重指数、三酰甘油、月经周期、雌二醇水平方面比较,差异有统计学意义(P<0.05),在年龄、手术时间、睾酮水平及是否使用术后镇痛方面比较,差异均无统计学意义(P>0.05)。结论:女性患者体重指数、三酰甘油、月经周期和雌二醇水平的差异对术后恶心、呕吐的发生率影响较大。Objective To investigate the causes of female patients with nausea and vomiting after laparoscopic cholecystecto- my. Method 157 cases of laparoscopic cholecystectomy were chosen. They were divided into two groups. PONV group was performed in 69 patients and N - PONV was performed in the other 88 patients. The incidence of nausea and vomiting in 48 hours after operation was nbserved, factors of age, operative time, baric index, blood lipid, menstrual cycle in operation day, sex hormone in peripheral venous blood, the use of an- algesic drug after operation were undertaken statistical analysis. Results There was significant difference in the aspects of baric index, triglyc- eride, menstrual cycle in operation day and estradiol level between the two groups （ P 〈 0. 05 ）. There was no significant difference in the as- pects of age, operative time, testosterone level and the use of analgesic dnJg after operation between the two groups （P 〉 0. 05 ） Conclusion Differences in baric index,triglyceride,menstrual cycle and estradiol level has greater influence on the incidence of postopera- tive nausea and vomiting in female patients.

关 键 词：腹腔镜 胆囊切除 术后恶心、呕吐 

分 类 号：R657.4[医药卫生—外科学]