摘要
Abstract
Objective:To analyze the risk factors and prevention countermeasures of postoperative nausea and vomiting(PONV)in gynecological laparoscopic surgery under general anesthesia.Method:A total of 90 patients undergoing laparoscopic surgery under general anesthesia in the hospital were enrolled from March 2023 to March 2025.According to presence or absence of PONV within 24 h after surgery,they were divided into PONV group(21 cases)and non-PONV group(69 cases).The general data in the two groups were compared,including age,body mass index(BMI),smoking history,history of cervical spondylosis,motion sickness,preoperative anxiety,preoperative depression,opioid use,grading of American Society of Anesthesiologists(ASA),operation time,anesthesia recovery time and surgical types.The risk factors of PONV were analyzed by multivariate Logistic regression analysis.Result:Among the 90 patients,there were 21 cases with PONV.There was no difference in age,BMI,smoking history,preoperative depression,ASA grading or surgical types between PONV group and non-PONV group(P>0.05).The proportions of cervical spondylosis history,motion sickness,preoperative anxiety and opioid use in PONV group were higher than those in non-PONV group.Operation time and anesthesia recovery time were longer than those in non-PONV group(P<0.05).The results of multivariate Logistic regression analysis showed that history of cervical spondylosis,preoperative anxiety,opioid use,long operation time and anesthesia recovery time were risk factors of PONV(P<0.05).Conclusion:History of cervical spondylosis,preoperative anxiety,opioid use,long operation time and anesthesia recovery time are risk factors of PONV in gynecological laparoscopic surgery under general anesthesia.Medical staffs can prevent PONV by relieving preoperative anxiety and reducing opioid use.关键词
妇科腹腔镜/全麻/术后恶心呕吐/危险因素Key words
Gynecological laparoscope/General anesthesia/Postoperative nausea and vomiting/Risk factor
