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頁籤選單縮合
題名 | Risk Factors of Vomiting Among Females on Patient-controlled Epidural Analgesia=女性使用硬膜外病患自控式止痛術造成嘔吐之危險因子 |
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作 者 | 陳鈺如; 張光宜; 鄒美勇; 林世斌; 陳國瀚; 丁乾坤; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 72:4 2009.04[民98.04] |
頁次 | 頁183-187+CA35 |
分類號 | 416.5 |
關鍵詞 | 硬膜外止痛; 硬膜外導管; 病患自控式止痛術; 羅吉斯回歸模型; 術後嘔吐; Epidural analgesia; Eepidural catheter; Logistic regression model; Patient-controlled analgesia; Postoperative vomiting; |
語文 | 英文(English) |
英文摘要 | Background: Postoperative pain and postoperative vomiting (POV) are both sources of distress in the postoperative period. Patient-controlled epidural analgesia (PCEA) is used in patients undergoing lower extremity surgery to improve postoperative quality but is accompanied by a certain incidence of vomiting. We wanted to determine the risk factors of POV in patients using PCEA with the aim of improving the quality of the postoperative period. Methods: We conducted a retrospective study to analyze the risk factors among patients using PCEA after lower-limb surgery under regional anesthesia. A total of 195 patients (91 males, 104 females) were enrolled. They were categorized into 2 groups: vomiting and non-vomiting. We found that female gender predominated in the vomiting group. Hence, we analyzed the female subgroup in order to find the risk factors of vomiting in the female PCEA population. Results: Female gender was the most significant factor related to vomiting (crude OR, 11.55; 95% CI, 4.88–27.33). From analysis of the female subgroup, puncture site (OR, 4.07; 95% CI, 1.41–11.79), catheter length in the epidural space (OR, 0.28; 95% CI, 0.16–0.50) and patient’s height (OR, 1.07; 95% CI, 1.00–1.14) were also factors for vomiting, i.e. higher epidural catheter puncture site, shorter length in the epidural space, and greater height caused a higher incidence of POV. Conclusion: The most important risk factor for POV in patients using PCEA was female gender. Among the female subgroup, the risk factors for POV included higher epidural catheter puncture site, shorter length in the epidural space and greater body height. |
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