Postoperative symptoms 24 hours after ambulatory anaesthesia
Postoperative symptoms 24 hours after ambulatory anaesthesia
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DOI：
10.1007/bf03011838
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发表时间：
1996-11-01
期刊：
影响因子：
--
通讯作者：
Su, J
中科院分区：
文献类型：
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作者：
Chung, F;Un, V;Su, J
目的：检验外科手术类型影响术后症状发生率的假设。人口统计学和临床风险变量的影响：年龄，SER，ASA状态麻醉持续时间对术后症状进行了评价，每个，类型surgery. Methods：人口统计学，医疗，麻醉和手术数据的1,017例患者前瞻性收集的研究助理谁打电话给每个病人出院后24小时管理的问卷调查，以确定术后症状。术后症状包括切口疼痛。恶心/呕吐、嗜睡、头晕、头痛和发热。此外，270例患者被问到他们的日常生活功能恢复的百分比（0 - 100）在24小时。结果：切口疼痛（26.9%），头痛（11.6%），嗜睡（11.5%）是最常见的症状。9.7%报告头晕，7.1%报告恶心/呕吐。大约50%接受腹腔镜手术、骨科手术和普外科手术的患者报告术后24小时切口疼痛。术后24小时恶心/呕吐的发生率最高的是普通手术（17.4%）、骨科手术（11.2%）和腹腔镜手术（9.4%）。嗜睡发生率以腹腔镜手术组最高（36.1%），其次为普外科（21.4%）。头晕在腹腔镜手术后最常见，占24.1%，其次是普通手术，占16.1%。腹腔镜手术后嗜睡或头晕与麻醉时间有关。普通外科手术后，术后头晕或嗜睡与年龄有关，年轻的病人，更有可能的symptoms.Conclusions：术后疼痛，恶心/呕吐，嗜睡，头晕，头痛是更常见的术后症状24小时门诊手术后，他们受到影响的类型的外科手术。此外，手术类型和术后24小时症状决定了恢复日常生活功能的程度。
Purpose: To test the hypothesis that the type of surgical procedure influences the incidence of postoperative symptoms. Also the effect of demographic and clinical risk variables: age, ser, ASA status duration of anaesthesia on the postoperative symptoms were evaluated for each, type of surgery.Methods: Demographic, medical, anaesthetic and surgical data on 1,017 patients were prospectively collected by a research assistant who telephoned each patient 24 hr after discharge to administer a questionnaire to determine postoperative symptoms. Postoperative symptoms included incisional pain,. nausea/vomiting, drowsiness, dizziness, headache and fever. In addition, 270 patients were asked the % (0-100) of their return to daily living function at 24 hr.Results: Incisional pain (26.9%), headache (11.6%), and drowsiness (11.5%) were the most frequently reported symptoms. Dizziness was reported by 9.7% and nausea/vomiting by 7.1%. Approximately 50% of patients undergoing laparoscopy, orthopaedic and general surgery reported 24-hr postoperative incisional pain. The incidence of 24-hr postoperative nausea/vomiting was highest after general 17.4%, orthopaedic, 11.2%, and laparoscopic surgery, 9.4%. Drowsiness was highest after laparoscopy 36.1%, followed by general surgery, 21.4%. Dizziness was most frequent after laparoscopy, 24.1%, followed by;general surgery, 16.1%. After laparoscopy, postoperative drowsiness or dizziness was related to anaesthesia duration. After general surgery, postoperative dizziness or drowsiness were related to age; the younger the patient, the more likely the symptoms.Conclusions: Postoperative pain, nausea/vomiting, drowsiness, dizziness, and headache were the more frequent postoperative symptoms 24 hr after ambulatory surgery and they were influenced by the type of surgical procedure. In addition, the type of surgery and the 24-hr postoperative symptoms determined the degree of return to daily living function.