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本文引用的文献

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Complications of general anesthesia.全身麻醉的并发症。
Clin Plast Surg. 2013 Oct;40(4):503-13. doi: 10.1016/j.cps.2013.07.001. Epub 2013 Aug 1.
2
Comparison of the effect of 2 hypotensive anesthetic techniques on early recovery complications after orthognathic surgery.两种降压麻醉技术对正颌外科手术后早期恢复并发症影响的比较。
J Craniofac Surg. 2012 May;23(3):e203-5. doi: 10.1097/SCS.0b013e31824de3d3.
3
Human cardiorespiratory and cerebrovascular function during severe passive hyperthermia: effects of mild hypohydration.严重被动热应激期间的人体心肺和脑血管功能:轻度缺水的影响。
J Appl Physiol (1985). 2008 Aug;105(2):433-45. doi: 10.1152/japplphysiol.00010.2008. Epub 2008 May 15.
4
Prevalence and molecular epidemiology of noroviruses in hospitalized children with acute gastroenteritis in Rio de Janeiro, Brazil, 2004.2004年巴西里约热内卢急性胃肠炎住院儿童中诺如病毒的流行情况及分子流行病学
Pediatr Infect Dis J. 2007 Jul;26(7):602-6. doi: 10.1097/INF.0b013e3180618bea.
5
Intraoperative local anaesthesia for paediatric postoperative oral surgery pain--a randomized controlled trial.小儿口腔外科术后疼痛的术中局部麻醉——一项随机对照试验
Int J Oral Maxillofac Surg. 2006 Dec;35(12):1114-9. doi: 10.1016/j.ijom.2006.07.007. Epub 2006 Oct 2.
6
Postoperative nausea and vomiting (PONV) after orthognathic surgery: a retrospective study and literature review.正颌外科手术后的术后恶心呕吐(PONV):一项回顾性研究及文献综述
J Oral Maxillofac Surg. 2006 Sep;64(9):1385-97. doi: 10.1016/j.joms.2006.05.024.
7
Risk factors for postoperative nausea and vomiting.术后恶心呕吐的危险因素。
Anesth Analg. 2006 Jun;102(6):1884-98. doi: 10.1213/01.ANE.0000219597.16143.4D.
8
Acute postoperative hypertension: a review of therapeutic options.急性术后高血压:治疗选择综述
Am J Health Syst Pharm. 2004 Aug 15;61(16):1661-73; quiz 1674-5.
9
A factorial trial of six interventions for the prevention of postoperative nausea and vomiting.一项关于六种预防术后恶心呕吐干预措施的析因试验。
N Engl J Med. 2004 Jun 10;350(24):2441-51. doi: 10.1056/NEJMoa032196.
10
Anaesthesia, surgery, and challenges in postoperative recovery.麻醉、手术及术后恢复中的挑战。
Lancet. 2003 Dec 6;362(9399):1921-8. doi: 10.1016/S0140-6736(03)14966-5.

口腔颌面外科全身麻醉术后常见并发症。

Common postoperative complications after general anesthesia in oral and maxillofacial surgery.

作者信息

Lone Parveen Akhter, Wani Nisar Ahmed, Ain Qurrat Ul, Heer Abha, Devi Ranjna, Mahajan Shivani

机构信息

Department of Oral and Maxillofacial Surgery, Indira Gandhi Government Dental College, Jammu, Jammu and Kashmir, India.

出版信息

Natl J Maxillofac Surg. 2021 May-Aug;12(2):206-210. doi: 10.4103/njms.NJMS_66_20. Epub 2021 Jul 15.

DOI:10.4103/njms.NJMS_66_20
PMID:34483578
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8386273/
Abstract

AIM AND OBJECTIVES

Anesthesia is Greek word meaning loss of sensation, and involves painful invasive procedure to be performed with little distress and no pain to the patient. Postoperative anesthetic complications are very common and duration of surgery is frequently cited as major risk factor for postoperative complications. The recognition and treatment of these complications are important when providing good quality care. The purpose of this study was to evaluate mild, moderate, and severe postoperative complications in patients undergoing maxillofacial surgery under general anesthesia and also determine the safety of general anesthesia in healthy and patients with comorbidities.

SUBJECTS AND METHODS

This prospective study was conducted in the oral and maxillofacial surgery department. Two hundred and twenty patients who were operated under general anesthesia were taken in study. All relevant past medical and dental records were noted and were supported by preformulated questionnaire and was filled preoperatively and after surgery to 12 weeks.

RESULTS

Mild-to-moderate and severe complications were noted. Females showed more complications than males. Most common complications were sore throat, dysphagia, nausea, vomiting, pain, swelling in normal patients, and in patients with comorbidities delayed wound healing, hypertension, and infection were also seen.

CONCLUSION

The use of General Anesthesia is considered safe but it has few risks associated with it and past medical conditions should be evaluated preoperatively.

摘要

目的与目标

“麻醉”一词源于希腊语,意为感觉丧失,它涉及到在尽量减少患者痛苦且无疼痛的情况下进行痛苦的侵入性手术。术后麻醉并发症非常常见,手术持续时间常被认为是术后并发症的主要危险因素。在提供高质量护理时,识别和治疗这些并发症很重要。本研究的目的是评估全身麻醉下接受颌面外科手术患者的轻度、中度和重度术后并发症,并确定全身麻醉对健康患者和合并症患者的安全性。

研究对象与方法

本前瞻性研究在口腔颌面外科进行。选取220例接受全身麻醉手术的患者纳入研究。记录所有相关的既往病史和牙科记录,并通过预先制定的问卷进行支持,术前及术后至12周填写。

结果

观察到轻度至中度和重度并发症。女性的并发症比男性更多。最常见的并发症是喉咙痛、吞咽困难、恶心、呕吐、疼痛、正常患者的肿胀,合并症患者还出现伤口愈合延迟、高血压和感染。

结论

全身麻醉的使用被认为是安全的,但仍有一些相关风险,术前应评估既往病史。