[1]马木提江·木尔提扎,吴昊,麦麦提力·米吉提,等.经乙状窦后入路听神经瘤切术后恶心、呕吐的发生率及危险因素[J].临床神经外科杂志,2020,17(01):100-104.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.023]
 Mamutijiang Muertizha,WU Hao,Maimaitili Mijiti,et al.Incidence and risk factors of postoperative nausea and vomiting after acoustic neuroma resection via retrosigmoid approach[J].Journal of Clinical Neurosurgery,2020,17(01):100-104.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.023]
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经乙状窦后入路听神经瘤切术后恶心、呕吐的发生率及危险因素()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年01期
页码:
100-104
栏目:
临床研究
出版日期:
2020-02-15

文章信息/Info

Title:
Incidence and risk factors of postoperative nausea and vomiting after acoustic neuroma resection via retrosigmoid approach
文章编号:
202001023
作者:
马木提江·木尔提扎吴昊麦麦提力·米吉提朱国华更·党木仁加甫
830054 乌鲁木齐,新疆医科大学第一附属医院神经外科
Author(s):
Mamutijiang Muertizha WU Hao Maimaitili Mijiti et al.
Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
关键词:
术后恶心呕吐听神经瘤乙状窦后入路
Keywords:
postoperative nausea and vomiting acoustic neuroma retrosigmoid approach
分类号:
R739.41
DOI:
DOI:10.3969/j.issn.1672-7770.2020.01.023
文献标志码:
D
摘要:
目的探讨经乙状窦后入路听神经瘤切除术后恶心、呕吐(postoperative nausea and vomiting,PONV)的发生率及相关危险因素,分析其可能的发生机制。方法收集分析新疆医科大学第一附属医院2016年8月—2019年2月,106例经乙状窦入路手术切除听神经瘤患者的临床资料。根据术后PONV发生情况,采用多因素Logistic回归分析听神经瘤患者术后发生PONV的相关危险因素。结果本组患者中,术后出现PONV者84例(79.3%),发生PONV平均天数为2.77 d,其中症状轻者为40例(37.7%),中度为27例(25.5%),重度为17例(16.0%);有47例患者(44.3%)于术后12小时内首次发生PONV。单因素分析显示,性别、肿瘤大小分级、手术时间、内听道磨除情况、术后疼痛、吸烟史是听神经瘤患者发生PONV的相关因素(均P<0.05)。多因素Logistic回归分析显示,经乙状窦后入路听神经瘤切除术后发生PONV的独立危险因素包括:女性、肿瘤大小分级符合T3~T4级、磨除内听道后壁。结论女性、肿瘤大小分级符合T3~T4级、磨除内听道后壁是经乙状窦后入路听神经瘤切除术后发生PONV的独立危险因素。围术期可考虑针对危险因素实施防治PONV的综合措施。
Abstract:
Objective To investigate the incidence of postoperative nausea and vomiting(PONV) after acoustic neuroma surgery through retrosigmoid approach and its related risk factors, so as to provide reference for early intervention. Methods The clinincal data of 106 acoustic neuroma patients who underwent surgery under general anesthesia in the First Affiliated Hospital of Xinjiang Medical University from August 2016 to February 2019 were collected. The incidence rate of PONV in the postoperative recovery period was calculated. Multivariate logistic regression was used to analyze the risk factors of PONV after acoustic neuroma surgery. Results Of 106 patients with acoustic neuroma, 84 (79.3%) had PONV after surgery, and the average period of PONV was 2.77 days, among which 40 patients(37.7%) had mild symptoms, 27 patients(25.5%) had moderate symptoms, 17(16.0%) patients had severe symptoms, and 47(44.3%) had PONV for the first time within 12 hours after surgery. Univariate analysis showed that gender, tumor size, operation time, the status of internal acoustic meatus, postoperative pain, smoking history relative factors of PONV after acoustic neuroma surgery(P<0.05). The results of multivariate logistic regression analysis showed that female, tumor size, drilling status of internal acoustic meatus were independent risk factors of PONV after acoustic neuroma resection via retrosigmoid approach(P<0.05). Conclusions Female, tumor grading as T3-T4 grade, drilling the posterior wall of the internal acoustic meatus are independent risk factors of PONV of after acoustic neuroma resection via retrosigmoid approach. According to risk factors, comprehensive measures should be taken to reduce the incidence of PONV during the perioperative period.

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更新日期/Last Update: 2020-02-19