儿科手术中PONV仍然是一个问题吗:对孩子们告诉我们的前性研究
Brigitte Messerer1, Marko Stijic2,3, Andreas Sandner-Kiesling1
1Department of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Frontiers in pediatrics
|November 15, 2023
概括
儿童的手术后恶心和吐 (PONV) 与手术类型,芬太尼和阿片类药物/NSAID使用有关. 遵守抗指南需要改进,以获得更好的患者结果.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 手术患者护理手术患者护理
- 临床药理学 临床药理学
背景情况:
- 手术后恶心和吐 (PONV) 是儿科手术患者的常见和令人痛苦的并发症.
- 识别风险因素对于优化儿童PONV管理策略至关重要.
- 这项研究调查了儿童群体中现实世界的PONV流行率和风险因素.
研究的目的:
- 通过患者采访来确定手术当天PONV的患病率.
- 通过使用护理记录,评估康复室和病房中的PONV率.
- 确定导致儿科患者PONV的关键风险因素.
主要方法:
- 根据STROBE指南进行的前性观察研究.
- 包括626名4至18岁的儿科患者.
- 通过患者访谈和护理记录分析收集数据.
主要成果:
- 手术类型 (手术调查,腹部手术) 显著预测了PONV.
- 术内使用芬太尼,皮里特拉米德和迪克洛菲纳克与增加PONV风险有关.
- 在康复室和病房中服用阿片类药物也成为显著的预测因素.
结论:
- 儿童的关键PONV风险因素包括手术内使用阿片类和非阿片类止痛药以及特定的手术程序.
- 在临床实践中,既定指导方针与实际使用抗性预防药物之间存在差异.
- 改善对指导方针和预防策略的遵守对于改善儿科手术中PONV结果至关重要.
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