Analysis of risk factors for postoperative nausea and vomiting in spinal anesthesia patients
10.3760/cma.j.issn.1673-4904.2013.15.001
- VernacularTitle:椎管内麻醉术后恶心呕吐的危险因素分析
- Author:
Hao CHEN
;
Gang FANG
;
Man LI
;
Wei MEI
;
Yuke TIAN
- Publication Type:Journal Article
- Keywords:
Spinal canal;
Anesthesia;
Postoperative nausea and vomiting;
Risk factors
- From:
Chinese Journal of Postgraduates of Medicine
2013;(15):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for postoperative nausea and vomiting (PONV) in spinal anesthesia patients.Methods A total of 841 patients received spinal anesthesia were visited after operation.Data were analyzed using univariate analysis and multivariate Logistic regression to identify risk factors related to PONV.Results PONV occurred in 94 patients (11.2％,94/841).Univariate analysis showed that PONV was unrelated with gender,age,ASA classification,anesthesia mode (P ＞ 0.05),related with operation department (P =0.026),body mass index (P =0.020),education level (P =0.000),history of previous surgery anesthesia (P =0.005),history of PONV (P =0.000),history of kinesia (P =0.002),smoke (P =0.019),intraoperative using of tramadol (P =0.018).Multivariate analysis showed that operation department (OR =4.039,95％ CI 1.331-12.259,P=0.048),education level (OR =3.504,95％ CI 1486-8.260,P=0.015),history of PONV (OR =5.113,95％ CI 1.790-14.606,P =0.002),intraoperative using of tramadol (OR =5.316,95％ CI 1.091-25.908,P =0.039) were identified as independent risk factors for PONV.Conclusions The independent factors associated with PONV following spinal anesthesia include operation department,education level,history of PONV,intraoperative using of tramadol.Identifying patients who are at high risk for PONV will enable the formation of more timely management project.
