摘要
目的探讨妇科腹腔镜术后发生恶心呕吐的相关因素,根据原因进行护理干预,以降低妇科腹腔镜术后恶心呕吐的发生率及程度。方法选择期妇科腹腔镜手术患者723例,将其术后48h内恶心呕吐发生率及程度与年龄、麻醉方式、体重、气腹时间、术中低血压及术后镇痛等因素进行相关性分析。结果统计发现,年龄≤40岁的患者术后恶心呕吐的发生率为62.8%,>40岁的患者术后恶心呕吐的发生率为37.2%;全麻组术后恶心呕吐的发生率为68.6%,硬外麻组为31.4%;体重超60kg的患者术后恶心呕吐的发生率为42.3%;气腹时间>2h者术后恶心呕吐的发生率为58.4%,气腹时间2h之内者为41.6%;手术中低血压患者术后有较高的恶心呕吐发生率,为91.3%;术后镇痛者的恶心呕吐发生率为66.4%,无术后镇痛者的恶心呕吐发生率为33.6%。结论腹腔镜术后恶心呕吐与患者年龄、麻醉方式、体重、气腹时间、术中低血压及术后镇痛等因素显著相关。针对相关因素进行护理评估、心理护理、对症护理及舒适护理等可以降低妇科腹腔镜术后恶心呕吐的发生率及程度。
OBJECTIVE To investigate the occurrence of nausea and vomiting after gynecological laparoscopy related factors, according to the causes of nursing intervention to reduce nausea and vomiting after gynecological laparoscopy the incidence and extent. METHODS The elective gynecologic laparoscopic surgery 723 cases recorded in patients with postoperative nausea and vomiting within 48 hours, the incidence and degree. It with age, anesthesia, body weight, pneumoperitoneum time, intraoperative hypotension, postoperative pain and other factors were analyzed. RESULTS Statistics found that in patients aged ≤40 years of age the incidence of postoperative nausea and vomiting was 62.8%, 40-year-old patients the incidence of postoperative nausea and vomiting was 37.2%, general anesthesia group the incidence of postoperative nausea and vomiting was 68.6%, epidural anesthesia group was 31.4%, weight 60 kg ultra incidence of postoperative nausea and vomiting was 42.3%, pneumoperitoneum time, ＂ two hours were the incidence of postoperative nausea and vomiting was 58.4%, pneumoperitoneum time 2 hours by was 41.6%, intraoperative hypotension after surgery have a higher incidence of nausea and vomiting, 91.3% . Postoperative analgesia the incidence of nausea and vomiting 66.4% , no postoperative analgesia the incidence of nausea and vomiting 33.6% . CONCLUSION The laparoscopic postoperative nausea and vomiting, and patient’s age, anesthesia, body weight, pneumoperitoneum time, intraoperative hypotension, postoperative pain and other factors significantly correlated. Nursing assessment for the relevant factors, psychological care, symptomatic care, comfort care, gynecological laparoscopy can reduce the incidence of postoperative nausea and vomiting and degree.
出处
《中国初级卫生保健》
2010年第8期99-100,共2页
Chinese Primary Health Care
关键词
腹腔镜妇科手术
恶心呕吐
相关因素
护理
laparoscopic gynecologic surgery
nausea and vomiting
related factors
nursing
