■斜视手术最常见于全身麻醉下的儿童。然而,很少有研究关注斜视手术后儿童的术后不适。本研究旨在评估全麻下斜视手术患儿术后不适及相关危险因素。
■进行了一项单中心前瞻性观察研究,包括300名在全身麻醉后接受斜视手术的儿童。患者特征,术前焦虑,手术和麻醉数据,记录麻醉后监护病房24小时内的不适。主要结果是术后不适的发生率。
■大约51.33%的儿童抱怨至少以下类型的术后不适:术后恶心和呕吐(PONV)(23.00%),头痛(4.33%),头晕(20.33%)和出现躁动(EA)(5.33%)。多因素分析显示有运动病史(P<0.001,比值比[OR]=3.72),主眼手术(P=0.010,OR=2.00)是术后不适的独立预测因子;年龄是EA的独立预测因子(P<0.001,OR=0.36);棱镜屈光度≥40是头痛的独立预测因子(P=0.005,OR=5.53);年龄(P=0.020,OR=1.12)和运动病史(P=0.001,OR=2.80)是前位性晕症的独立预测因子(0.001,
儿童在全身麻醉下接受斜视手术后最常见的术后症状是PONV,头晕,EA,和头痛。年龄更小,斜视角度较大,运动病史,对优势眼进行手术,和IOAT手术可能是术后不适的额外危险因素。
UNASSIGNED: Strabismus surgery is most commonly performed on children under general anesthesia. However, few studies have focused on the postoperative discomfort in children after strabismus surgery. This study aimed to evaluate postoperative discomfort and the associated risk factors in children who underwent strabismus surgery under general anesthesia.
UNASSIGNED: A single-center prospective observational study including 300 children who underwent strabismus surgery after general anesthesia was conducted. Patients\' characteristics, preoperative anxiety, surgical and anesthesia data, discomfort within 24 hours after postanesthesia care unit were recorded. The primary outcome was the incidence of postoperative discomfort.
UNASSIGNED: Approximately 51.33% of the children complained of at least one of the following types of postoperative discomfort: postoperative nausea and vomiting (PONV) (23.00%), headache (4.33%), dizziness (20.33%) and emergence agitation (EA) (5.33%). Multivariate analysis indicated that history of motion sickness (P<0.001, odds ratio [OR]=3.72), and surgery in the dominant eye (P=0.010, OR=2.00) were independent predictors of postoperative discomfort; age was an independent predictor of EA (P<0.001, OR=0.36); prism diopter≥40 was an independent predictor of headache (P=0.005, OR=5.53); age (P=0.020, OR=1.12) and history of motion sickness (P=0.001, OR=2.80) were independent predictors of dizziness; history of motion sickness (P=0.001, OR=2.63) and surgery of inferior oblique anterior transposition (IOAT) (P=0.004, OR=3.10) were independent predictors of PONV.
UNASSIGNED: The most frequent postoperative symptoms in children after undergoing strabismus surgery under general anesthesia are PONV, dizziness, EA, and headache. Younger age, larger angle of strabismus, history of motion sickness, surgery on the dominant eye, and surgery of IOAT may be additional risk factors for postoperative discomfort.