[摘 要] 目的：探讨分析术后恶心呕吐(Postoperative nausea and vomiting,PONV)相关原因。方法：回顾分析300例女性择期甲状腺切除术PONV132例采用成组资料非条件概率logistic回归模型对影响PONY因素(年龄、身高、体重、晕动病史、手术时间、月经周期)进行统计分析。结果：(PONV)与晕动病史、手术时间、月经周期史相关。结论：晕动病者，可预防性给予抗组胺药减轻患者的痛苦;择期甲状腺切除术女性患者避开其月经周期黄体期，可给予少量镇静剂降低患者术后呕吐的发生率。

    [关键词] 甲状腺切除术；术后恶心和呕吐;多因素分析

    The Risk Factors of ThyroidectomyPostoperative Nausea and Vomiting:A Retrospective Analysis

    MA Jing,WANG Shujing,MA Wenguo,et al

    (Yidu Central Hospital,Qingzhou,Shandong 262500,China)

    Abstract：Objective To investigate the risk factors of thyroidectomy postoperative nausea and vomiting.Methods 300 female patients received thyroidectomy from Jan 2005 to Dec 2005 in our hospital were chosen (132 cases with PONV) to retrospective analysis risk factors including age,body height,body weight,kinesia,operating time,menstrual cycle.Logistic regression was selected to analysis the factors with may cause PONV.Results The effect enforced.Antihistamine drug could be given to the highrisk group who suffering kinesia in order to lessen distress.The female patients are performedl thyroidectomy should avoid luteal phase of menstrual extending cycle accordingly cutting down the incidence of PONV.calmative should be given to patients after anaesthesiain order to lessen the incidence of PONV ...... 濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€ｎ偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕ｉ婵嗗幋闁哄嫷鍨甸～锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎ｎ偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


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