LSG与SASI术后恶心呕吐比较的随机对照研究  

Comparison of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy and single anastomosis sleeve ileal bypass:a randomized control study

作　　者：孙霞 谢修涛 袁培文 王键 洪健 李超 朱孝成 姚立彬 SUN Xia;XIE Xiutao;YUAN Peiwen;WANG Jian;HONG Jian;LI Chao;ZHU Xiaocheng;YAO Libin(Graduate School of Xuzhou Medical University,Xuzhou,Jiangsu 221004,P.R.China;Department of Bariatric Metabolic Surgery,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221002,P.R.China)

机构地区：[1]徐州医科大学研究生院,江苏徐州221004 [2]徐州医科大学附属医院减重代谢外科,江苏徐州221002

出　　处：《中国普外基础与临床杂志》2024年第8期945-951,共7页Chinese Journal of Bases and Clinics In General Surgery

基　　金：徐州市重点研发计划基金资助项目(项目编号:KC22231)。

摘　　要：目的 比较腹腔镜下袖状胃切除术(laparoscopic sleeve gastrectomy,LSG)和袖状胃切除联合胃回肠单吻合双通路术(single-anastomosis sleeve ileal bypass,SASI)术后恶心呕吐(postoperative nausea and vomiting,PONV)情况,探索PONV的危险因素。方法 前瞻性收集2022年6月至2022年12月期间在徐州医科大学附属医院接受减重代谢手术的220例患者,随机均分为LSG组和SASI组。在POD0、POD1、POD2、POD30、POD60、POD90时使用Rhodes指数评分对PONV进行评估。结果 LSG组患者的Rhodes指数评分总分为(25.56±13.54)分,SASI组患者为(16.06±11.28)分,SASI组较低(P<0.05)。多重线性回归分析结果显示,女性(P=0.014)、LSG(P<0.001)、年龄小(P=0.050)、BMI低(P=0.019)是PONV的危险因素。结论 与LSG相比,SASI术后Rhodes指数评分低。针对BMI较小的年轻女性在LSG术后要格外关注对恶心呕吐的预防以及治疗。Objective To compare the postoperative nausea and vomiting(PONV)after laparoscopic sleeve gastrectomy(LSG)and single-anastomosis sleeve ileal bypass(SASI),and to explore the risk factors for PONV.Method A total of 220 patients at the Affiliated Hospital of Xuzhou Medical University from June 2022 to December 2022 were prospectively collected,and were randomly divided into the LSG group and the SASI group;the general condition of the patients was recorded.PONV was assessed on the POD0,POD1,POD2,POD30,POD60,POD90,using the Rhodes index score.Results The total Rhodes index score in the LSG group was higher than that in the SASI group[(25.56±13.54)vs.(16.06±11.28),P<0.05].The results of multiple linear regression analysis showed that female(P=0.014),LSG(P<0.001),young age(P=0.050),and low BMI(P=0.019)were risk factors for PONV.Conclusions Compared with LSG,the Rhodes index score after SASI is low.For young women with low BMI,special attention should be paid to the prevention and treatment of PONV after LSG.

关 键 词：术后恶心呕吐 腹腔镜下袖状胃切除术 袖状胃切除联合胃回肠单吻合双通路术 Rhodes指数评分 

分 类 号：R656.61[医药卫生—外科学]