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全身麻醉下门诊斜视手术后与术后不适相关的危险因素。

Risk Factors Associated with Postoperative Discomfort After Ambulatory Strabismus Surgery Under General Anesthesia.

作者信息

Huang Jingxia, Lin Jing, Xiong Yun, Wang Zhonghao, Zhu Yanling, Ye Huijing, Guo Wenjun

机构信息

Department of Anesthesia, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.

Department of Strabismus and Amblyopia, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.

出版信息

J Pain Res. 2020 May 5;13:947-953. doi: 10.2147/JPR.S249493. eCollection 2020.

Abstract

PURPOSE

The aim of this study was to evaluate postoperative discomfort in patients undergoing ambulatory strabismus under general anesthesia, and to identify risk factors associated with the discomfort.

PATIENTS AND METHODS

A cross-sectional study was conducted among 210 consecutive patients undergoing ambulatory strabismus under general anesthesia. Postoperative discomfort including nausea, vomiting, dizziness, and headache was recorded and quantified. Univariable and multivariable logistic regression were performed to detect the risk factors associated with postoperative discomfort.

RESULTS

Of 210 participants, 199 (94.76%) patients experienced mild discomfort after ambulatory strabismus surgery under general anesthesia, and 31 (14.76%), 11 (5.24%), 60 (28.57%), 23 (10.95%) patients suffered from nausea, vomiting, dizziness, and headache, respectively. A multivariate analysis indicated that female sex, the surgery on inferior rectus, and the surgery on inferior oblique were the independent risk factors for postoperative vomiting while, mild anxiety was the independent risk factor for postoperative dizziness.

CONCLUSION

Patients undergoing ambulatory strabismus surgery tended to experience postoperative nausea and dizziness. Female sex, the surgery on inferior rectus, mild anxiety, and the surgery on inferior oblique were the independent predictors of postoperative discomfort.

摘要

目的

本研究旨在评估全身麻醉下门诊斜视手术患者的术后不适情况,并确定与不适相关的危险因素。

患者与方法

对连续210例接受全身麻醉下门诊斜视手术的患者进行横断面研究。记录并量化术后包括恶心、呕吐、头晕和头痛在内的不适情况。采用单变量和多变量逻辑回归分析来检测与术后不适相关的危险因素。

结果

210名参与者中,199例(94.76%)患者在全身麻醉下门诊斜视手术后出现轻度不适,分别有31例(14.76%)、11例(5.24%)、60例(28.57%)、23例(10.95%)患者出现恶心、呕吐、头晕和头痛。多因素分析表明,女性、下直肌手术和下斜肌手术是术后呕吐的独立危险因素,而轻度焦虑是术后头晕的独立危险因素。

结论

接受门诊斜视手术的患者术后容易出现恶心和头晕。女性、下直肌手术、轻度焦虑和下斜肌手术是术后不适的独立预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b943/7211303/aa6ebce42f5f/JPR-13-947-g0001.jpg

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