外周前庭功能对妇科腔镜手术术后恶心呕吐的影响  

Effects of vestibular peripheral function on the incidence of post-operative nausea and vomiting after laparoscopic gynecological surgery

作　　者：姬雅君 闫立华 陈海军 李玲玲 胡晓东 JI Yajun;YAN Lihua;CHEN Haijun;LI Lingling;HU Xiaodong(The 1th Department of Anesthesiology,Cangzhou Central Hospital,Cangzhou,Hebei,061000,China;Department of Rehabilitative Medicine,Cangzhou Central Hospital,Cangzhou,Hebei,061000,China;The 1th Department of Gynaecology,Cangzhou Central Hospital,Cangzhou,Hebei,061000,China;Department of Otolaryngology,Cangzhou Central Hospital,Cangzhou,Hebei,061000,China)

机构地区：[1]河北省沧州市中心医院麻醉一科,河北沧州061000 [2]河北省沧州市中心医院康复医学科,河北沧州061000 [3]河北省沧州市中心医院妇一科,河北沧州061000 [4]河北省沧州市中心医院耳鼻喉科,河北沧州061000

出　　处：《当代医学》2021年第29期90-92,共3页Contemporary Medicine

摘　　要：目的观察外周前庭功能对妇科腔镜手术术后恶心呕吐的影响。方法选取2019年1月至2020年2月在河北省沧州市中心医院接受全身麻醉妇科腔镜手术的患者122例,根据前庭温度试验结果分为前庭功能异常组和前庭功能正常组(对照组),比较两组围术期临床资料及术后0~2、0~24 h恶心呕吐发生情况。结果根据前庭功能检查结果,前庭功能异常患者60例,其中单侧前庭功能异常患者47(78.3%)例,双侧前庭功能异常患者13(21.6%)例;前庭功能正常患者62例。两组围术期临床资料比较差异无统计学意义。术后0~2 h,前庭功能异常组恶心呕吐发生率为45.00%,高于对照组的25.81%,差异有统计学意义(P<0.05);术后0~24 h,前庭功能异常组恶心呕吐发生率为51.67%,高于对照组的45.16%,但差异无统计学意义。术后0~2 h,双侧前庭功能异常组恶心呕吐发生率为61.53%,高于单侧前庭功能异常组的34.04%,差异无统计学意义;术后0~24 h,双侧前庭功能异常组恶心呕吐发生率为69.23%,高于单侧前庭功能异常组的46.81%,但差异无统计学意义。结论术后0~2 h恶心呕吐的发生可能与前庭功能相关。Objective To observe the influence of peripheral vestibular function on nausea and vomiting after gynecological laparoscopic surgery.Methods 122 patients who underwent general anesthesia gynecological laparoscopic surgery at Cangzhou Central Hospital in Hebei Province from January 2019 to February 2020 were divided into bnormal vestibular function group and normal vestibular function group(control group)according to the results of the vestibular temperature test.To compare the perioperative clinical data and the occurrence of nausea and vomiting at 0-2,0-24 h after the operation between the two groups.Results According to the results of vestibular function examination,there were 60 patients with vestibular dysfunction,including 47(78.3%)patients with unilateral vestibular dysfunction,13(21.6%)patients with bilateral vestibular dysfunction,and 62 patients with normal vestibular function.There was no statistically significant difference in perioperative clinical data between the two groups.0-2 h after operation,the incidence of nausea and vomiting in the vestibular dysfunction group was 45.00%,which was higher than 25.81%in the control group.The difference was statistically significant(P<0.05);0-24 hours after the operation,the rate of nausea in the vestibular dysfunction group was nausea,the incidence of vomiting was 51.67%,which was higher than 45.16%in the control group,but the difference was not statistically significant.0-2 h after operation,the incidence of nausea and vomiting in the bilateral vestibular dysfunction group was 61.53%,which was higher than 34.04%in the unilateral vestibular dysfunction group,and the difference was not statistically significant;0-24 h after the operation,bilateral vestibular function,the incidence of nausea and vomiting in the abnormal group was 69.23%,which was higher than 46.81%in the unilateral vestibular dysfunction group,but the difference was not statistically significant.Conclusion The occurrence of nausea and vomiting within 0-2 h after surgery may be related to vestibul

关 键 词：术后恶心呕吐 外周前庭功能 妇科腔镜手术 全身麻醉 

分 类 号：R614[医药卫生—麻醉学]