期刊文献+

托烷司琼预防妇科腹腔镜手术后恶心呕吐的效果 被引量:3

暂未订购
导出
摘要 目的观察托烷司琼预防妇科腹腔镜术后恶心呕吐的临床效果。方法采用随机、安慰剂对照和双盲的研究方法,将120例择期行腹腔镜下妇科手术患者分成3组:托烷司琼5 mg组(T组)、恩丹西酮8 mg组(O组)和生理盐水对照组(C组),每组40例。术毕观察给药至第一次出现恶心呕吐的时间、各组发生恶心呕吐的例数、接受补救药物的例数、恶心的严重程度、患者对止吐药的满意度、头晕头痛及椎体外系症状等副作用的发生情况。结果各组初次出现恶心的时间,发生恶心呕吐和接受补救药物处理的例数、恶心严重程度评分相比较,托烷司琼组均优于恩丹西酮组(P<0.05),且前者头痛、烦躁等不良反应均低于后者。结论托烷司琼的镇吐效果优于恩丹西酮,能够有效预防妇科腹腔镜手术患者恶心呕吐发生率并降低其严重程度,增强抗吐时效,同时减少副作用的发生。
作者 郭一闽 王忱
出处 《广东医学》 CAS CSCD 北大核心 2008年第10期1739-1741,共3页 Guangdong Medical Journal
  • 相关文献

参考文献13

  • 1KOVAC A L. Prevention and treatment of postoperative nausea and vomiting[J]. Drugs, 2000, 59(2) : 213 -243.
  • 2SEUDERI P E. Postoperative nausea prevention and treatment [J]. ASA Annual Meeting, 2004, 230: 1.
  • 3APFEL C C, LAARA E, KOIVURANTA M, et al. A simplified risk score for predicting postoperative nausea and vomting: conclusion from cross - validations betweecenters [ J 1. Anesthesiology, 1999, 91(3) : 693 -700.
  • 4KOIVURANTA M, LAARA E,RANTA P, et al. Comparison of ondansetron and droperidol in the prevention of postoperative nausea and vomiting after Iaparoscopic surgery in women [ J ]. Aeta Anaest Hesiol Scand, 1997, 41 (10) : 1 273 - 1 279.
  • 5NAVARI R M, KOELLER J M. Electrocardiographic and cardiovascular effects of the 5 - hydroxytrptamine 3 recepotr antagomists [J]. Ann Pharacother, 2003, 37(9): 1 276 -1 286.
  • 6TRAMET M R. Rational control of PONV the rule of three [ J ]. Can J Anaesth, 2004, 51(4): 283 -285.
  • 7LOEWEN P S, MARRA C A, ZED P J, 5 - HT3 receptor antagonists vs traditional agents for the prophylaxis of postoperative nausea and vomiting[J]. Can J Anaesth, 2000, 47(10) : 1 008 - 1 018.
  • 8陈绍洋,朱萧玲,胡胜,张英民,王强,马素美,熊利泽.不同止吐药预防术后PCA恶心呕吐的临床观察[J].临床麻醉学杂志,2001,17(5):251-253. 被引量:42
  • 9FUJII Y. The utility of antiemetics in the prevention and treatment of postoperative nausea and vomiting in patients scheduled for laparoscopic cholecystectomy[J]. Curt Pharm Des, 2005, 11:3 173 -3 183.
  • 10顾连兵,孙来荣,黄凤伦.不同剂量托烷司琼预防术后病人自控镇痛恶心呕吐的临床观察[J].临床麻醉学杂志,2004,20(5):299-300. 被引量:25

二级参考文献15

  • 1Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg, 1990,70:160-167.
  • 2Allen D, Jorgensen C, Sims C. Effect of tropisetron on vomiting during pa tient-controlled analgesia in children. Br J Anaesth, 1999,83: 608-610.
  • 3White PH, Shafer A. Nausea aud voniting: Canses and prophylaxis. Se min Aesth, 1988,6: 300-308.
  • 4Kovac AL. Prevention and treatment of pest-operative nausea and vomiting, Drugs. 2000,59: 213-243.
  • 5Rose JB, watcha MF. Postoperative nausea and vomiting in pediatric patients. Br. J Anaesth, 1999,63:104.
  • 6Helmys AK. Prohylactic anti-emetic efficacy of ondansrtron if laparoscopic cholelcysctomy under total intravenous anaesthesia. Anasesthesia, 1999,54:266.
  • 7Kranke P, Eberhart LH, Apfel CC, et al. Tropisetron for prevention of pest-operative nausea and vomiting: a quantitative systematic review. Anaesthesist, 2000,51 ( 10 ): 805-814.
  • 8Zoomer PJW. Tropisetron for postoperative nausea and vomiting in patients after gynaecological surgry . Br J Anaesth, 1993,71:677.
  • 9Tramer MR, Moore RA, Reynolds DJ, et al. A quantitative systematic review of ondansetron in treatment of established postoperative nausea and vomiting. BMJ, 1997, 314:1088.
  • 10Loewen PS, Marra CA, Zed PJ.5-HT3 receptor antagonists vs traditional agents for the prophylaxis of postoperative nausea and vomiting. Can J Anaesth, 2000,47:1008.

共引文献185

同被引文献51

引证文献3

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部