现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
3期
22-24,25
,共4页
甲状腺%术后%恶心呕吐综合征
甲狀腺%術後%噁心嘔吐綜閤徵
갑상선%술후%악심구토종합정
thyroidectomy%post operation%vicious vomiting syndrome
目的：探讨甲状腺术后患者发生恶心呕吐综合征（symdrome of postoperative nausea and vomiting，SPNV）影响因素。方法对214例行甲状腺手术患者资料进行回顾性分析，了解患者SPNV发生及影响因素情况。结果术后发生SPNV 72例，发生率为33.64%；其中恶心发生率为100.00%，1度、2度、3度分别占47.22%、27.78%、25.00%；呕吐发生率为38.89%，轻度、中度、重度分别占32.14%、57.14%、10.71%；患者不同性别、吸烟史、麻醉方式与手术时间与患者术后发生SPNV具有相关性（均P＜0.05）；多因素分析结果显示，患者为女性、全麻麻醉方式、手术时间≥2 h是引起患者术后发生SPNV的独立危险因素（均P＜0.05）。结论甲状腺手术患者术后SPNV发生率较高，女性、全麻麻醉方式及手术时间长是引起患者发生SPNV的独立危险因素。
目的：探討甲狀腺術後患者髮生噁心嘔吐綜閤徵（symdrome of postoperative nausea and vomiting，SPNV）影響因素。方法對214例行甲狀腺手術患者資料進行迴顧性分析，瞭解患者SPNV髮生及影響因素情況。結果術後髮生SPNV 72例，髮生率為33.64%；其中噁心髮生率為100.00%，1度、2度、3度分彆佔47.22%、27.78%、25.00%；嘔吐髮生率為38.89%，輕度、中度、重度分彆佔32.14%、57.14%、10.71%；患者不同性彆、吸煙史、痳醉方式與手術時間與患者術後髮生SPNV具有相關性（均P＜0.05）；多因素分析結果顯示，患者為女性、全痳痳醉方式、手術時間≥2 h是引起患者術後髮生SPNV的獨立危險因素（均P＜0.05）。結論甲狀腺手術患者術後SPNV髮生率較高，女性、全痳痳醉方式及手術時間長是引起患者髮生SPNV的獨立危險因素。
목적：탐토갑상선술후환자발생악심구토종합정（symdrome of postoperative nausea and vomiting，SPNV）영향인소。방법대214례행갑상선수술환자자료진행회고성분석，료해환자SPNV발생급영향인소정황。결과술후발생SPNV 72례，발생솔위33.64%；기중악심발생솔위100.00%，1도、2도、3도분별점47.22%、27.78%、25.00%；구토발생솔위38.89%，경도、중도、중도분별점32.14%、57.14%、10.71%；환자불동성별、흡연사、마취방식여수술시간여환자술후발생SPNV구유상관성（균P＜0.05）；다인소분석결과현시，환자위녀성、전마마취방식、수술시간≥2 h시인기환자술후발생SPNV적독립위험인소（균P＜0.05）。결론갑상선수술환자술후SPNV발생솔교고，녀성、전마마취방식급수술시간장시인기환자발생SPNV적독립위험인소。
Objective To investigate the risk factors of nausea and vomiting syndrome after thyroidectomy.Method The clinical data of 214 patients undergoing thyroidectomy were analyzed retrospectively to look into the risk factors.Results Seventy-two patients contracted nausea and vomiting syndrome after thyroidectomy,with an incidence of 33.64%.All of them had nausea of degrees 1,2 and 3,taking up 47.22%,27.78%and 25.00%,respectively.38.89%of them had vomiting of mild,intermediate and severe degrees, accounting for 32.14%,57.14% and 10.71%,respectively.Gender,smoking history,anesthesia and surgical duration were correlated with the syndrome(All P<0.05).Non-conditional Logistic regression analysis showed that female,general anesthesia, operative duration ≥2h were independent risk factors(all P<0.05).Conclusions Syndrome of nausea and vomiting after hyroidectomy has a higher incidence.Female,general anesthesia and surgical duration are independent risk factors.Interventional measures pertinent to these factors may reduce the incidence of nausea and vomiting syndrome after thyroidectomy.
