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在儿童全身麻醉下进行眼手术后的术后不适的评估:一项前性观察性研究
Yawen Mo1, Wenjuan Zhang1, Xiangcheng Tang1
1Department of Strabismus and Amblyopia, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, People's Republic of China.
手术后的不适,包括恶心,吐和头,影响超过一半的孩子在眼手术后. 运动病史和主导眼睛手术是这种不适的关键风险因素.
科学领域:
- 眼科医生 眼科 眼科
- 儿科麻醉 儿科麻醉
- 疼痛管理 疼痛管理
背景情况:
- 眼手术经常在全身麻醉下对儿童进行.
- 眼手术后儿科患者的术后不适并没有得到充分的研究.
- 了解不适及其预测因素对于优化患者护理至关重要.
研究的目的:
- 评估眼手术后儿童手术后术后不适的发生率和类型.
- 在这个儿科群体中确定与术后不适相关的危险因素.
主要方法:
- 进行了一项单中心前性观察研究.
- 包括300名在全身麻醉下接受眼手术的儿童.
- 收集的数据包括患者的特征,手术前的焦虑,手术细节和麻醉后24小时内的不适.
主要成果:
- 超过一半的儿童 (51.33%) 经历了至少一种类型的术后不适.
- 常见的不适包括手术后恶心和吐 (23.00%),头 (20.33%),以及出现动荡 (5.33%).
- 不适的独立预测因素是运动恶性病史和主导眼睛的手术.
结论:
- 手术后的恶心,吐,头和出现动荡在儿科斜视手术后很常见.
- 风险因素包括年龄较小,视角较大,运动性疾病史,主导眼睛手术和下斜前置转移手术.
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