妇科腹腔镜术后恶心呕吐的临床观察.docxVIP

武汉科技大学成人教育毕业设计(论文)

毕业论文

题目：妇科腹腔镜术后恶心呕吐的临床观察

学院:

继续教育学院

专业:

护理学

学号:

210051019110210

学生姓名:

曾琴

指导教师:

王惠颖

日期:

二○二二年十二月

武汉科技大学成人教育毕业设计(论文)

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摘要

目地：讨妇科腹腔镜手术后产生狠心恶心呕吐的有关因素。依据缘故开展干预模式。从而降低妇科腹腔镜手术后恶心呕吐的发生率及水平。方式选择期妇科腹腔镜手术治疗患者723例。把它手术后48h内恶心呕吐发生率及水平和年龄、麻醉方式、重量、气腹时长、手术过程中低血糖及术后镇痛等因素开展相关分析。

结论：统计分析发觉年纪≤40岁患者手术后恶心呕吐的发生率为62.8％，40岁患者手术后恶心呕吐的发生率为37.2％；全身麻醉组手术后恶心呕吐的发生率为68.6%，硬外麻组为31.4％；重量超60kg的患者手术后恶心呕吐的发生率为42.3％；气腹时长2h者手术后恶心呕吐的发生率为58.4％，气腹时长2h以内者为41.6％；术后镇痛者恶心呕吐发生率为66.4％。无术后镇痛者恶心呕吐发生率为33.6％。

结果：腹腔镜术后恶心呕吐与患者年纪、麻醉方式、重量、气腹时长、手术过程中低血糖及术后镇痛等因素显著相关。对于有关因素开展护理评估、心理干预治疗、对症治疗医护及舒服医护等能够降低妇科腹腔镜手术后恶心呕吐的发生率及水平。

关键词：妇科腹腔镜；相关因素；相关性；恶心呕吐；发生率

Abstract

Objective:Todiscusstherelatedfactorsofcruelnauseaandvomitingaftergynecologicallaparoscopicsurgery.Carryoutinterventionmodeaccordingtoreason.Inordertoreducetheincidenceandlevelofnauseaandvomitingaftergynecologicallaparoscopicsurgery.Methodsoptionalperiodgynecologicallaparoscopicoperationin723patients.Theincidenceandlevelofnauseaandvomitingwithin48hafteroperation,age,anesthesiamethod,weight,durationofpneumoperitoneum,hypoglycemiaduringoperation,postoperativeanalgesiaandotherfactorswereanalyzed.

Conclusions:Statisticalanalysisfoundthattheincidenceofpostoperativenauseaandvomitingwas62.8%inpatientsaged≤40years,and37.2%inpatientsaged40years.Theincidenceofnauseaandvomitingwas68.6%inthegeneralanesthesiagroupand31.4%intheepiduralanesthesiagroup.Theincidenceofpostoperativenauseaandvomitinginpatientsweighingmorethan60kgwas42.3%.Theincidenceofpostoperativenauseaandvomitingwas58.4%inpatientswithpneumooperitoneumlongerthan2hoursand41.6%inpatientswithpneumooperitoneumlongerthan2hours.Theincidenceofnauseaandvomitinginpostoperativeanalgesicswas66.4%.Theincidenceofnauseaandvomitinginpatientswithoutpostoperativeanalgesiawas33.6