甲状腺切除术后恶心呕吐相关多因素回顾研究

The Risk Factors of ThyroidectomyPostoperative Nausea and Vomiting: A Retrospective Analysis

目的:探讨分析术后恶心呕吐(Postoperativenauseaandvomiting,PONV)相关原因。方法:回顾分析300例女性择期甲状腺切除术PONV132例采用成组资料非条件概率logistic回归模型对影响PONY因素(年龄、身高、体重、晕动病史、手术时间、月经周期)进行统计分析。结果:(PONV)与晕动病史、手术时间、月经周期史相关。结论:晕动病者,可预防性给予抗组胺药减轻患者的痛苦;择期甲状腺切除术女性患者避开其月经周期黄体期,可给予少量镇静剂降低患者术后呕吐的发生率。

Objective To investigate the risk factors of thyroidectomy postoperative nausea and vomiting, Methods 300 female patients received thyroidectomy from Jan 2005 to Dec 2005 in our hospital were chosen （132 cases with PONV） to retrospective analysis risk factors including age, body height, body weight, kinesia, operating time, menstrual cycle. Logistic regression was selected to analysis the factors with may cause PONV. Results The effect enforced. Antihistamine drug could be given to the high-risk group who suffering kinesia in order to lessen distress. The female patients are performedl thyroidectomy should avoid luteal phase of menstrual extending cycle accordingly cutting down the incidence of PONV. calmative should be given to patients after anaesthesiain order to lessen the incidence of PONV.