Department of Anesthesiology, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):789-792. doi: 10.31729/jnma.7670.
Postoperative nausea and vomiting are frequent complications after laparoscopic cholecystectomy. Several risk factors have been associated with postoperative nausea and vomiting. This study aimed to find out the prevalence of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anaesthesia in a tertiary care centre.
A descriptive cross-sectional study was conducted among the patients undergoing laparoscopic cholecystectomy under general anaesthesia at a tertiary care centre from 1 July 2021 to 30 April 2022 after receiving ethical approval from the Institutional Review Committee (Reference number: 050-077/078). Convenience sampling was done. All the patients received antiemetic prophylaxis with ondansetron. The general anaesthetic technique was standardised in all the patients. They were followed up 24 hours after surgery for an episode of nausea and vomiting. Point estimate and 95% Confidence Interval were calculated.
Among 200 patients, postoperative nausea and vomiting were seen in 28 (14%) (9.19-18.81, 95% Confidence Interval). Among them, 7 (25%) of the patients experienced post-operative vomiting as well.
The prevalence of postoperative nausea and vomiting among patients undergoing laparoscopic cholecystectomy in our study was lower when compared to other studies conducted in similar settings.
腹腔镜胆囊切除术后恶心和呕吐是常见的并发症。一些危险因素与术后恶心和呕吐有关。本研究旨在了解在三级护理中心接受全身麻醉下腹腔镜胆囊切除术的患者术后恶心和呕吐的发生率。
本研究为描述性横断面研究，在伦理审查委员会批准后（参考号：050-077/078），于 2021 年 7 月 1 日至 2022 年 4 月 30 日期间，在一家三级护理中心对接受全身麻醉下腹腔镜胆囊切除术的患者进行了研究。采用便利抽样法。所有患者均接受昂丹司琼预防止吐。所有患者均采用标准化全身麻醉技术。术后 24 小时对所有患者进行恶心和呕吐发作的随访。计算点估计值和 95%置信区间。
在 200 名患者中，28 名（14%）（9.19-18.81，95%置信区间）出现术后恶心和呕吐。其中，7 名（25%）患者还出现了术后呕吐。
与在类似环境中进行的其他研究相比，我们的研究中接受腹腔镜胆囊切除术的患者术后恶心和呕吐的发生率较低。
