子宫切除术后患者恶心呕吐相关因素分析及护理对策

目的分析子宫切除术后患者发生恶心呕吐的相关因素,提出对策。方法回顾性分析495例全身麻醉下行子宫切除术的资料,记录发生恶心呕吐的拟定相关因素及赋值。应用单因素分析和多元逐步回归分析评价发生恶心呕吐的相关因素。结果 495例子宫切除术后患者发生恶心呕吐55例,发生率11.1%,多元逐步回归分析显示发生恶心呕吐与术前禁食时间、麻醉时间、术后使用镇痛泵有关。结论子宫切除术后患者发生恶心呕吐率较高,主要影响因素是术前禁食时间、麻醉时间、术后使用镇痛泵,干预这些相关因素可降低恶心呕吐的发生率。

Related factors analysis and nursing countermeasures on nausea and vomiting for patients after hysterectomy

Objective To analyze the related factors on nausea and vomiting for patients after hysterectomy and find out countermeasures. Method Information of 495 cases of hysterectomy under general anaesthesia are analyzed retrospectively. Record related factors and values of nausea and vomiting. Evaluate the related factors by single factor analysis and multiple stepwise regression analysis. Result Nausea and vomiting appears in 55 （11. 1%） cases of patients after hysterectomy. Multiple stepwise regression analysis shows that nausea and vomiting is related to pre--operation fasting time, pre--opera- tion duration of anesthesia and post--operation usage of analgesia pump. Conclusion Rate of nausea and vomiting for patients after hysterectomy is high. The main factors are pre--operation fasting time, pre--operation duration of anesthesia and post oper ation usage of analgesia pump. Rate of nausea and vomiting can be reduced by intervene on these related factors.