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预测剖腹产后的术后恶心和吐:一个诺莫格拉姆模型与胃超声波相结合

Yingchao Liu^1,2, Huohu Zhong³, Zhisen Dai¹

¹Department of Anesthesiology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian Province, 350000, China.

BMC anesthesiology

|February 8, 2025

概括

这项研究确定了剖腹产后术后恶心和吐 (PONV) 的关键风险因素. 一个开发的诺莫格拉姆模型有效地预测PONV,优于Apfel评分系统,为更好的患者康复提供了更好的效果.

科学领域:

产科和妇科产科和妇科
麻醉学麻醉学
临床预测建模模型

背景情况:

手术后恶心和吐 (PONV) 是剖腹产后的一个常见并发症.
确定独立的风险因素对于有效的预防和管理策略至关重要.

研究的目的:

在剖腹产患者中调查PONV的独立风险因素.
建立和验证PONV的预测名录.
为了比较名图的诊断效果与阿佩尔评分模型.

主要方法:

一组116名剖腹产患者被分为训练 (n=87) 和验证 (n=29) 组.
后勤回归分析确定了PONV的独立风险因素.
使用已识别的风险因素构建了一个名图,并在单独的测试组 (n=29) 上进行外部验证.

主要成果:

PONV的独立风险因素包括运动性疾病史,显著的缩血压降低 (>20%) 和胃体积.
诺米图表表现出良好的预测性能,在训练组中AUC为0.814,在验证组中为0.792.
在外部测试组中,名图 (AUC=0.779) 显著超过了Apfel评分模型 (AUC=0.547).

结论:

一个新的名ogram模型有效地预测了剖腹产后的PONV.
这种名ogram优于传统的Apfel评分模型,用于在这个人群中预测PONV.
诺姆图可以帮助制定个性化的管理策略,以改善患者的治疗结果和康复.

关键词:

剖腹产是一个剖腹产.胃超声波胃超声波胃超声波这个名字叫做Nomogram.手术后的恶心和吐.

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