病态肥胖症患者腹腔镜袖状胃切除术后恶心呕吐的相关因素调查  

Investigation of Related Factors of Nausea and Vomiting After Laparoscopic Sleeve Gastrectomy in Morbid Obesity Patients

作　　者：张传军 曹宁 陈克 钟漓 Zhang Chuanjun;Cao Ning;Chen Ke;Zhong Li(Department of General Surgery,Guilin People's Hospital,Guilin 541002,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]桂林市人民医院普通外科,广西壮族自治区桂林541002

出　　处：《中国社区医师》2024年第29期36-38,共3页Chinese Community Doctors

摘　　要：目的:分析病态肥胖症患者腹腔镜袖状胃切除术后恶心呕吐的相关因素。方法:选取2022年1月—2024年1月于桂林市人民医院就诊的120例病态肥胖症患者作为研究对象,均行腹腔镜袖状胃切除术,按照患者术后是否出现恶心呕吐分为术后恶心呕吐组(n=76)、术后未恶心呕吐组(n=44),收集两组患者临床资料,分析病态肥胖症患者腹腔镜袖状胃切除术后恶心呕吐的影响因素。结果:病态肥胖症患者术后恶心呕吐发生率为63.33%(76/120)。Logistic回归分析显示,术后麻醉苏醒时间、麻醉药用量、麻醉方式、手术时间是病态肥胖者患者腹腔镜袖状胃切除术后恶心呕吐的独立影响因素(P<0.05)。结论:病态肥胖症患者腹腔镜袖状胃切除术后恶心呕吐发生风险较高,与术后麻醉苏醒时间、麻醉药用量、麻醉方式、手术时间等因素密切相关。因此,临床需为患者选择合适的麻醉方案,控制麻醉及手术时间,以减少术后恶心呕吐的发生。Objective:To analyze the releted factors of nausea and vomiting after laparoscopic sleeve gastrectomy in patients with morbid obesity.Methods:A total of 120 patients with morbid obesity admitted to Guilin People's Hospital from January 2022 to January 2024 were selected as the study subjects.All patients underwent laparoscopic sleeve gastrectomy.According to whether the patients had postoperative nausea and vomiting,they were divided into postoperative nausea and vomiting group(n=76)and no postoperative nausea and vomiting group(n=44).Clinical data of patients in two groups were collected.The influencing factors of nausea and vomiting after laparoscopic sleeve gastrectomy in patients with morbid obesity were analyzed.Results:The incidence of postoperative nausea and vomiting in patients with morbid obesity was 63.33%(76/120).Logistic regression analysis showed that,postoperative anesthesia recovery time,anesthetic dosage,anesthesia method and operation time were the independent influencing factors of nausea and vomiting after laparoscopic sleeve gastrectomy in patients with morbid obesity(P<0.05).Conclusion:The risk of nausea and vomiting after laparoscopic sleeve gastrectomy is relative higher in patients with morbid obesity,and it is closely related to postoperative anesthesia recovery time,anesthetic dosage,anesthesia method,operation time and other factors.Therefore,it is necessary in clinical setting to choose the appropriate anesthesia program,control the anesthesia and operation time,so as to reduce the occurrence of postoperative nausea and vomiting.

关 键 词：病态肥胖症 腹腔镜袖状胃切除术 恶心呕吐 

分 类 号：R656.61[医药卫生—外科学]