全麻下吸烟者术中术后并发症的研究:一项基于医院的研究

Bharat Choudhary, Mahendra Kumar
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摘要

背景:吸烟与并发症之间的联系在外科专业中得到了充分的证明。因此;本研究旨在评估全身麻醉下吸烟者术中及术后并发症。对象和方法:本研究在印度拉贾斯坦邦Barmer政府医学院麻醉科进行,目的是评估全身麻醉下吸烟者的术中和术后并发症。本研究共纳入50例患者。在详细解释整个研究方案后,获得了机构伦理委员会的伦理批准,并获得了所有患者的书面同意。本研究的纳入标准包括:1)当前吸烟者,2)至少有5年吸烟习惯的患者,3)计划在全身麻醉下接受任何外科手术的患者。获得了所有患者的完整人口统计信息。记录所有患者术中及术后并发症的发生率。所有结果在Microsoft excel表格中记录,并使用SPSS软件进行分析。结果:术中并发症包括需要呼吸机、心脏病发作和术中镇痛。术后并发症包括伤口愈合受损、恶心和呕吐。结论:吸烟者术中、术后并发症的发生率较高。
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A Study of Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia: An Hospital Based Study
Background: The link between smoking and complications is well documented across surgical specialities. Hence; the present study was undertaken for assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. Subjects and Methods: The present study was undertaken in the department of Anaesthesia, Government Medical College, Barmer, Rajasthan, India with aim of assessing Intra-Operative and Post-Operative Complications among Smokers under General Anesthesia. A total of 50 patients were enrolled in the present study. Ethical approval was obtained from institutional ethical committee and written consent was obtained from all the patients after explaining in detail the entire research protocol. Inclusion criteria for the present study included: 1) Current smokers, 2) Patients with current smoking habit from a minimum of 5 years, 3) Patients scheduled to undergo any surgical procedure under general anesthesia. Complete demographic details of all the patients were obtained. Incidence of both intra-operative and postoperative complications in all the patients was recorded. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software. Results: Intraoperative complications included need for ventilator, heart attack and requirement of intra-operative analgesia. Postoperative complications included impaired wound healing and nausea and vomiting. Conclusion: Smokers are subjects to significant chances of occurrence of intraoperative and postoperative complications.
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