共同性斜视患者全麻下斜视矫正术后并发恶心呕吐的相关因素分析  

Analysis of related factors affecting postoperative nausea and vomiting in patients with concomitant strabismus after correction of strabismus under general anesthesia

作　　者：张颖 李洁月 杨珺[1] Zhang Yin;Li Jieyue;Yang Jun(Department of Ophtalmology,Jinan Second People's Hospital,Jinan 250001,China)

机构地区：[1]济南市第二人民医院眼科,250001

出　　处：《国际医药卫生导报》2020年第21期3332-3335,共4页International Medicine and Health Guidance News

摘　　要：目的分析影响共同性斜视患者在全麻下进行斜视矫正手术后并发恶心呕吐的相关因素。方法选取2017年3月至2019年3月在本院进行全麻下斜视矫正手术的患者86例进行分析。所有患者均在全麻诱导期静脉注射地塞米松复合5-HT3受体拮抗剂预防术后恶心呕吐。将术后发生恶心呕吐并发症的一组作为观察组,术后未发生恶心呕吐现象的一组作为对照组。采用单因素和logistic多因素回归分析影响共同性斜视患者全麻下斜视矫正术后并发恶心呕吐的危险因素。结果单因素回归分析显示,与对照组相比,手术时长、下直肌手术、下斜肌手术以及眼外肌手术操作均可影响术后发恶心呕吐的发生率,两组比较差异均有统计学意义(均P<0.05)。多因素回归分析显示,手术时长、下直肌手术、下斜肌手术以及多条眼外肌手术均是影响共同性斜视患者全麻下斜视矫正术后并发恶心呕吐的独立危险因素(均P<0.05)。结论控制手术时长,加强手术操作,可以减轻患者的痛苦,缩短患者的恢复期,避免产生过多的医疗费用,值得临床医疗学习和运用。Objective To analyze the related factors affecting the postoperative nausea and vomiting of concomitant strabismus patients undergoing strabismus correction under general anesthesia.Methods From March 2017 to March 2019,86 patients who underwent strabismus correction under general anesthesia in our hospital were selected for analysis.All patients received intravenous injection of dexamethasone and 5-HT3 receptor antagonist during the induction period of general anesthesia to prevent postoperative nausea and vomiting.The patients with postoperative nausea and vomiting were set as observation group,patients without postoperative nausea and vomiting as control group.Univariate and logistic multivariate regression analysis were used to analyze the risk factors of nausea and vomiting in concomitant strabismus patients after correction of strabismus under general anesthesia.Results Univariate regression analysis showed that surgical lengthening,inferior rectus surgery,inferior oblique surgery,and extraocular muscle surgery all affected the incidence of postoperative nausea and vomiting,there were statistically significant differences between the two groups(all P<0.05).Multivariate regression analysis showed that the length of operation,inferior rectus operation,inferior oblique operation,and extraocular muscle operation were the independent risk factors of nausea and vomiting in patients with concomitant strabismus after strabismus correction under general anesthesia(all P<0.05).Conclusion We can control the operation time and strengthen the operation technique to relieve the pain of the patients,shorten the patient's recovery,avoid producing too much medical costs,which is worthy of clinical medical study and use.

关 键 词：共同性斜视 术后恶心呕吐 影响因素 地塞米松 5-HT3受体拮抗剂 

分 类 号：R473.77[医药卫生—护理学]