妇科腹腔镜患者发生术后恶心呕吐相关因素分析  

Analysis of postoperative nausea and vomiting in patients with gynecologic laparoscopic procedures

作　　者：郑俊奕[1] 翁秋瑾[2] 

机构地区：[1]广州中医药大学第一附属医院麻醉科,广东广州510405 [2]泉州市中医院妇科,福建362002

出　　处：《现代医药卫生》2015年第23期3535-3537,共3页Journal of Modern Medicine & Health

基　　金：广东省科技计划项目(2012B031800421)

摘　　要：目的 分析妇科腹腔镜患者术后恶心呕吐（PONV）的情况,探寻其发生规律。方法将广州中医药大学第一附属医院2013年5~12月收治的拟择期行妇科腹腔镜手术患者450例作为研究对象,统一麻醉方法,记录所有患者的一般资料、相关病史、PONV的相关危险因素及PONV发生情况,采用Epi Data 3.0软件录入数据,并应用SPSS18.0统计软件进行相关分析。结果 450例患者PONV的发生率为39.3%（177/450）,大部分发生在24 h内,与普遍适用的Apfel简化风险评分表四因素预测模型相比,不同危险因素对患者PONV发生率的影响程度明显较小,非婚状态患者较易发生PONV,晕动病史者不明显增加PONV的风险。结论 妇科腹腔镜手术患者PONV发生率仍然近40.0%;Apfel简化风险评分表四因素预测模型对该类患者PONV的预测效能较差;婚姻状态可能影响PONV的发生率。Objectives To analyze the postoperative nausea and vomiting（PONV） situation in the patients with gyneco- logical laparoscopy for investigating its occurrence rule. Methods 450 patients undergoing gynecologic laparoseopic operation in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from May to December 2013 were selected as the research subjects. The anesthesia method was unified and the general data, related disease history, PONV related risk fac- tors and PONV occurrence situation were recorded in all the cases. The data entry adopted the EpiData 3.0 software and the relat- ed analysis was performed by the SPS18.0 software. Results The incidence rate of PONV in 450 patients was 39.3% （ 177/450）, which mostly occurred within 24 h after operation. Compared with the predicting model of the Apfel simplified risk evaluation scale, influencing degrees of different risk factors on the incidence rate of PONV were significantly smaller. The unmarried pa- tients were easier to develop PONV. However, the patients with motion sickness history did not significantly increase the PONV risk. Conclusion The incidence rate of PONV in the patients with gynecological laparoscopic operation is still close to 40% ; the 4-factor predictive model of the Apfel simplified risk evaluation scale has poor predictive ability for PONV in these patients;the marital status may affect the incidence rate of PONV.

关 键 词：生殖器疾病 女(雌)性/外科学 腹腔镜检查 手术后恶心呕吐 相关因素 

分 类 号：R713[医药卫生—妇产科学]