妇科腔镜手术后恶心呕吐危险因素的调查分析

目的对妇科腔镜手术术后恶心、呕吐的因素进行调查，筛选危险因素。方法选取2010年7月-2011年9月期间来我院就诊的256例妇科腔镜手术患者，均为全身麻醉，对其术后恶心程度视觉模拟评分进行详细记录，采用统计学方法对影响妇科腔镜手术的因素进行筛选。结果其中发生恶心呕吐的患者共有194例（75．78％），能够对患者的24hNVAS评分影响严重的因素包括吸入麻醉剂及麻醉时间延长（P〈0．05），对其无明显影响的因素是体重指数、年龄和阿片类药物剂量。结论能够对妇科腔镜手术后恶心呕吐患者产生严重的影响因素包括吸入麻醉剂及其麻醉时间延长。

Analysis of risk factors of nausea and vomiting after gynecological laparoscopic surgery

Objective To investigate the factors of gynecologic laparoscopic surgery postoperative nausea and vomiting （PONV）, screening out the risk factors. Methods A total of 256 cases of gynecologic laparoscopic surgery were selected from July 2010 to September 2011 in our hospital, the patients were all given general anesthesia, we detailed records their degree of nausea visual analog scale （NVAS）, The affect factors of gynecological endoscopic surgery was surveyed using statistical methods. Results The proportion of Nausea and vomiting patients were 194 （75.78%）, the impact factors of the patient＇s 24 hNVAS serious score were included inhaled anesthetics and anesthesia prolonged （P 〈 0.05）, it was not obvi- ous affect that the factors were the body mass index, age and opioid dose. Conclusion Gynecologic 1.aparoscopic surgery in patients with severe nausea and vomiting after the impact of factors such as inhalation anesthetics and anesthesia longer.