胃负压吸引法降低正颌外科手术后恶心呕吐的发生率。
Gastric Negative Pressure Suction Method Reduces the Incidence of PONV after Orthognathic Surgery.
作者信息
Wang Jia, Zhang Zhenzhen
机构信息
R.N., School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China.
Resident, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China.
出版信息
Front Surg. 2022 May 20;9:882726. doi: 10.3389/fsurg.2022.882726. eCollection 2022.
OBJECTIVE
To investigate the effect of gastric negative pressure suction on the incidence of postoperative nausea and vomiting (PONV) in patients undergoing orthognathic surgery.
METHODS
A retrospective study of 772 patients who underwent orthognathic surgery from October 2016 to January 2021 was performed, excluding possible confounding factors. The patients were divided into a negative gastric suction group (group 1) and a group without gastric suction (group 2), according to whether gastric suction was used after general anaesthesia. There were 386 patients in each group. The incidence of PONV was compared between the two groups.
RESULTS
The incidence of PONV was 29% in the negative gastric suction group and 58.8% in the non-gastric suction group. The incidence of PONV in the gastric negative pressure suction group was significantly lower than that in the non-gastric negative pressure suction group, and the difference was statistically significant (< 0.05).
CONCLUSION
By reducing the risk of perioperative bleeding in orthognathic surgery, gastric negative pressure aspiration can reduce the incidence and operation time of PONV after orthognathic surgery.
目的
探讨胃负压吸引对正颌手术患者术后恶心呕吐（PONV）发生率的影响。
方法
对2016年10月至2021年1月期间接受正颌手术的772例患者进行回顾性研究，排除可能的混杂因素。根据全身麻醉后是否使用胃吸引，将患者分为胃负压吸引组（1组）和非胃吸引组（2组）。每组各386例。比较两组患者的PONV发生率。
结果
胃负压吸引组PONV发生率为29%，非胃吸引组为58.8%。胃负压吸引组的PONV发生率显著低于非胃负压吸引组，差异有统计学意义（<0.05）。
结论
通过降低正颌手术围手术期出血风险，胃负压吸引可降低正颌手术后PONV的发生率及手术时间。
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