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术后恶心呕吐的患病率:一项系统评价与荟萃分析。

Prevalence of postoperative nausea and vomiting: A systematic review and meta-analysis.

作者信息

Amirshahi Mehrbanoo, Behnamfar Niaz, Badakhsh Mahin, Rafiemanesh Hosein, Keikhaie Khadije Rezaie, Sheyback Mahmood, Sari Mahdeh

机构信息

Department of Midwifery, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.

Master of Nursing, Department of Nursing, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

Saudi J Anaesth. 2020 Jan-Mar;14(1):48-56. doi: 10.4103/sja.SJA_401_19. Epub 2020 Jan 6.

Abstract

OBJECTIVE

Postoperative nausea and vomiting (PONV) is a daily phenomenon, to which less attention has been paid in a variety of surgeries. Despite the individual studies, there is no comprehensive study on the prevalence of PONV. The aim of this study was to determine the global prevalence of PONV.

MATERIALS AND METHODS

In this systematic and meta-analysis study, descriptive studies of four databases (PubMed, Web of Science, Scopus, and Google Scholar) were searched for relevant texts from the time they were created until 31 December 2018. The random effects model was used for meta-analysis of studies included. All the steps were carried out by two individuals. Hoy .'s tool was used to evaluate its risk bias.

RESULTS

A total of 23 studies that were performed on 22,683 people from 11 countries were entered into the final phase. The prevalence of PONV, nausea, and vomiting was 27.7%, 31.4%, and 16.8%, respectively. The prevalence of PONV was higher during the first 24 h in European countries.

CONCLUSION

Considering the high prevalence of PONV and our goal to better control it, it is necessary to use high cost-effective approaches and recommendations and to educate health caregivers and patients.

摘要

目的

术后恶心呕吐(PONV)是一种常见现象,在各类手术中较少受到关注。尽管有个别研究,但尚无关于PONV患病率的综合研究。本研究的目的是确定PONV的全球患病率。

材料与方法

在这项系统评价和荟萃分析研究中,检索了四个数据库(PubMed、科学网、Scopus和谷歌学术)从创建到2018年12月31日的描述性研究中的相关文本。采用随机效应模型对纳入研究进行荟萃分析。所有步骤由两人进行。使用Hoy工具评估其风险偏倚。

结果

共有来自11个国家的23项研究纳入最终阶段,涉及22683人。PONV、恶心和呕吐的患病率分别为27.7%、31.4%和16.8%。欧洲国家在前24小时内PONV的患病率较高。

结论

鉴于PONV的高患病率以及我们更好地控制它的目标,有必要采用高成本效益的方法和建议,并对医护人员和患者进行教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ce9/6970369/f973000d07cc/SJA-14-48-g001.jpg

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