Reverse trendelenburg position can alleviate postoperative nausea and vomiting in thyroid surgery: from Logistic multivariate analysis

VernacularTitle:头高脚低体位减轻甲状腺术后恶心呕吐临床分析
Author: Shouyi YAN ; Wenxin ZHAO ; Bo WANG ; Liyong ZHANG ; Wenjin LI ; Shixiong LI
Publication Type:Journal Article
Keywords: Postoperative nausea and vomiting; Reverse trendelenburg position; Logistic multivariate analysis
From: Chinese Journal of Endocrine Surgery 2015;9(4):283-286
CountryChina
Language:Chinese
Abstract: Objective To assess the clinical significance of reverse trendelenburg position in preventing postoperative nausea and vomiting(PONV)in thyroid surgery.Methods 110 patients with papillary thyroid carcinoma(PTC) admitted from Feb.2013 to Mar.2014 were prospectively divided into experimental group and the control group according to whether reserve trendelenburg position was adopted.Univariate and multivariate method were used to analyze relations between PONV and surgical position,gender,age,body mass index,hypertension,surgical time,ASA classification,anesthesia,and motion sickness.Results Of the 110 cases of PTC,the incidence of PONV was 16.28％ (7/43) in the experimental group while it was 37.31％ (25/67) in the control group.The difference had statistical significance(P ＜ 0.05).Statistical analysis showed that PONV was related to patients'gender,surgical position,surgical time,and motion sickness,while only surgical position and motion sickness was the independent risk factors.Conclusion Reverse trendelenburg position surgery can help to prevent PONV and promote recovery.