摘要
目的探讨甲状腺切除术后恶心呕吐综合征(SPNV)发生的相关危险因素。方法回顾性分析2005年7月～2010年9月于该院行甲状腺切除术患者180例的临床资料,对可能影响患者术后发生恶心呕吐综合征的相关因素进行分析。结果 SPNV组和未发生SPNV组患者性别、有无吸烟史、手术时间、术前适应训练、麻醉方式及椎动脉血流动力学改变间比较,差异具有显著性(P<0.05)。Logistic回归分析结果发现性别、有无吸烟史、术前适应训练、麻醉方式及椎动脉血流动力学变化(左侧△fV和右侧△fV)是影响SPNV发生的独立危险因素。结论性别、有无吸烟史、术前适应训练、麻醉方式及椎动脉血流动力学变化(左侧△fV和右侧△fV)是影响SPNV发生的独立危险因素。
【Objective】 To study the associated risk factors of syndrome of postoperative nausea and vomiting（SPNV） after thyroidectomy.【Methods】 180 patients underwent thyroidectomy from July 2005 to September 2010 were retrospectively analyzed.The associated factors of postoperative nausea and vomiting after thyroidectomy were analyzed.【Results】 There were significantly differences in gender,smoking history,duration of operation,training before operation,type of anaesthesia,the changes of hemodynamies of the bilateral vertebral artery between SPNV group and without SPNV group.The related factors by Logistic analysis were as follows： gender,smoking history,training before operation,type of anaesthesia,the changes of hemodynamies of the bilateral vertebral artery.【Conclusions】 The risk factors of SPNV are gender,smoking history,training before operation,type of anaesthesia,the changes of hemodynamies of the bilateral vertebral artery.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第25期94-96,共3页
China Journal of Modern Medicine
关键词
甲状腺切除术
恶心呕吐综合征
危险因素
thyroidectomy
syndrome of postoperative nausea and vomiting
risk factors
