Korean J Anesthesiol:芬太尼诱导的咳嗽是术后恶心和呕吐的危险因素

2018-02-05 符筱魁 罂粟花 微信号

不吸烟妇女接受妇科手术,在麻醉诱导期间发生FIC,术后PONV的发生率也较高。

背景与目的

术后恶心呕吐(PONV)和芬太尼诱导咳嗽(FIC)是两种常见的麻醉相关并发症,且似乎有共同的危险因素。 在这项前瞻性队列研究中,我们调查了麻醉诱导期间有FIC的患者是否会出现PONV发病率增加。

方  法

我们研究了2011年7月1日至2012年7月30日期间入组的成人非吸烟妇科手术患者。记录诱导期间FIC的术后PONV的发生。 对芬太尼诱导的咳嗽和其他围手术期变量进行多变量分析,以确定FIC和PONV之间的关系。

结  果

所有参加本研究的502名患者至少有两个PONV危险因素,154名(31%)患者发生FIC。 FIC组的PONV发生率高于非FIC组(56.5 vs 38.2%; P <0.0001)。 多变量逻辑回归分析发现FIC是发生PONV的预测性危险因素(校正比值比2.08,95%置信区间1.41-3.07)。

结  论

不吸烟妇女接受妇科手术,在麻醉诱导期间发生FIC,术后PONV的发生率也较高。

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    2018-02-07 xue8602
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    2018-02-07 skhzy
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    2018-02-05 戒馋,懒,贪

    谢谢分享学习了

    0

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    2018-02-05 1217549fm29暂无昵称

    henhao

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