折刀位椎管内麻醉术后恶心呕吐的危险因素研究  

Study on risk factors for postoperative nausea and vomiting after intraspinal anesthesia with folding knife position

作　　者：陈海虹 CHEN Hai-hong(Department of Anesthesiology,Guangdong Province Shantou City Chaonan District Minsheng Hospital,Shantou Guangdong Province 515144,China)

机构地区：[1]广东省汕头市潮南区民生医院麻醉科,广东汕头515144

出　　处：《中国城乡企业卫生》2023年第1期13-16,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探讨折刀位椎管内麻醉术后恶心呕吐的危险因素,为预防术后恶心呕吐的发生提供帮助。方法 选取2018年1月—2020年12月在广东省汕头市潮南区民生医院接受折刀位椎管内麻醉后外科手术治疗的患者200例,收集患者各项临床数据,将发生麻醉术后恶心呕吐的42例患者纳入观察组,将未发生麻醉术后恶心呕吐的158例患者纳入对照组。使用单因素分析和logistic回归分析对各项椎管内麻醉术后恶心呕吐的相关危险因素进行筛选。结果 观察组与对照组患者在麻醉方式、术后恶心呕吐发生史和术中地佐辛应用史方面,差异有统计学意义(P<0.05)。其余指标两组差异无统计学意义(P>0.05)。logistic回归方程显示有术后恶心呕吐发生史、有术中地佐辛应用史是折刀位椎管内麻醉术后恶心呕吐发生的独立危险因素。结论 术后恶心呕吐病史和地佐辛应用史是折刀位椎管内麻醉术后恶心呕吐的独立危险因素。对于有上述危险因素的患者应进行及时、对症干预,避免患者术后恶心呕吐的发生,以改善患者预后。Objective To investigate the risk factors of postoperative nausea and vomiting after intraspinal anesthesia with folding knife position,and to provide help for the prevention of postoperative nausea and vomiting. Methods From January 2018 to December 2020,200 patients who received surgical treatment after intraspinal anesthesia in folding knife position in Guangdong Province Shantou City Chaonan District Minsheng Hospital were selected. The various clinical data of patients were collected. Forty two patients with postoperative nausea and vomiting after anesthesia were included in the observation group,and 158patients without postoperative nausea and vomiting after anesthesia were included in the control group.Univariate analysis and logistic regression analysis were used to screen the risk factors of postoperative nausea and vomiting after intraspinal anesthesia. Results There were statistical differences between the observation group and the control group in anesthesia mode,postoperative nausea and vomiting occurrence history and intraoperative Dezocine application history(P<0.05). There were no significant differences in other indicators between the two groups(P >0.05). Logistic regression equation showed that history of postoperative nausea and vomiting occurrence,and history of Dezocine application were independent risk factors for postoperative nausea and vomiting after intraspinal anesthesia with folding knife position.Conclusion History of postoperative nausea and vomiting and Dezocine application were independent risk factors for postoperative nausea and vomiting. For patients with the above risk factors,timely and symptomatic intervention should be carried out to avoid patients postoperative nausea and vomiting occurrence and improve the prognosis of patients.

关 键 词：椎管内麻醉 术后恶心呕吐 危险因素 回归分析 

分 类 号：R614.2[医药卫生—麻醉学]