女性患者术前痛阈与甲状腺术后恶心呕吐程度的相关性  

Correlation between preoperative pain tolerance threshold of female patients and the degree of postoperative nausea and vomiting

作　　者：邱良诚[1] 吴蔚蓝[1] 吴晓丹[1] 陈彦青[1] QIU Liang-cheng(Department of Anesthesiology,Fujian provincial Jinshan Hospital,Provincial clinical College,Fujian Medical University,Fuzhou,Fujian,350001,China.)

机构地区：[1]福建省立金山医院麻醉科,福建医科大学省立临床医学院,福建福州350001

出　　处：《齐齐哈尔医学院学报》2020年第9期1103-1105,共3页Journal of Qiqihar Medical University

基　　金：福建省卫计委青年科研课题(2018-1-31)。

摘　　要：目的探讨女性患者术前痛阈与甲状腺术后恶心呕吐程度的相关性。方法选择2017年1月—2018年12月在本院气管插管全麻下行甲状腺切除术的女性患者120例作为研究对象,ASA I或II级,年龄25~49岁,体重45~65 kg。术前一天予测定患者痛阈并宣教以缓解术前紧张的情绪,术前30 min采用修订版的状态-特质焦虑问卷评价患者术前的精神状态。麻醉方法:采用全凭静脉靶控麻醉(异丙酚-瑞芬太尼),BIS监测麻醉深度,维持术中BIS值40~60。手术体位:均为头颈部后仰过伸位30°。术中输液种类均为晶体液,手术结束前30 min予选择性非甾体镇痛药管理术后疼痛。记录患者术后48 h恶心呕吐的发生情况,以及术中麻醉药使用量及输液量、手术麻醉时间、拔管时间。患者术前痛阈与术后48 h恶心呕吐严重程度行相关性分析。结果患者术前痛阈与术后48 h恶心呕吐严重程度呈负相关(r=-0.658,P<0.05)。结论女性患者术前痛阈与甲状腺术后48h恶心呕吐严重程度存在一定负相关性。Objective To investigate the correlation between preoperative pain threshold and the degree of postoperative nausea and vomiting in female patients.Methods This is a prospective study.One hundred and twenty ASA I or II women,aged 25-49 yr,weighing 45-65 kg,undergoing selective thyroid surgery under general anesthesia that through trachea cannula,from January 2017 to December 2018,were studied.The patients'pain tolerance threshold was measured one day preoperative and eliminated the tension before surgery through education about it.State Trait Anxiety Inventory(STAI)was used to examine the mental state the day before surgery.Total target controlled intravenous anesthesia(Propofol-Remifentanil)was performed in all the patients,BIS was used to monitor the depth of anesthesia and maintain intraoperative BIS values between 40 and 60.The surgical position was the head and neck hyperextend backwards 30°.The type of perioperative infusion was crystalloid,and selective non-steroidal anti-inflammatory analgesic was used to management of postoperative pain at 30 min before the end of surgery.The degree and incidence of postoperative nausea and vomiting during 48 h after surgery,and the amount of intraoperative Anesthetics and transfusion,anesthesia time,extubation time,were record.SPSS 13.0 statistical software was used to analyze the correlation between preoperative pain threshold and the degree of postoperative nausea and vomiting.Results Preoperative pain threshold is negatively correlated with the order of severity of postoperative nausea and vomiting in 48 h after surgery(r=-0.658,P<0.05).Conclusions There is a negative correlation between the preoperative pain threshold and the severity of nausea and vomiting in 48 hours after surgery in female patients.

关 键 词：痛阈 女性 术后恶心呕吐 

分 类 号：R653[医药卫生—外科学]