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术后恶心呕吐的防治研究进展 被引量:10

Study Progress about Prevention and Therapy of Postoperative Nausea and Vomiting
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摘要 术后恶心呕吐(PONV)是手术后的常见并发症,其发生机制可能和位于脑干的呕吐中枢接受体内一些催吐信号的刺激有关。影响PONV发生的因素包括:性别、吸烟、既往术后恶心和呕吐史、晕动病史、麻醉持续时间、手术类型等。5-羟色胺3受体拮抗剂目前是术后抗吐的最佳药物,对有高危因素的患者,宜采用联合用药及综合防治措施,以降低PONV的发生率。 Postoperative nausea and vomiting (PONV)is a common complication in operational patients. PONV may be caused by the stimulating of vomiting center in the brain. Factors affecting the occurrence of PONV include gender, smoking, previous history of PONV, motion history, surgery type, etc. 5- HT3 receptor antagonist is the best anti-vomiting drugs at present. For the patients with risk factors,combination and integrated measures are the effective ways to reduce the incidence of PONV.
出处 《医学综述》 2009年第17期2603-2605,共3页 Medical Recapitulate
基金 宝鸡市卫生局项目(2008015)
关键词 术后恶心呕吐 预防 治疗 Postoperative nausea and vomiting Prevention Treatment
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参考文献20

  • 1Pandey CK, Priye S, Ambesh SP, et al. Prophylactic gabapentin for prevention of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy : a randomized, double-blind, placebo-controlled study[J]. J Postgrad Med,2006,52(2):97-100.
  • 2White PF, Watcha MF. Postoperative nausea and vomiting: prophylaxis versus treatment[J]. Anesth Analg,1999,89(6) :1337-1339.
  • 3McKenzie R, Wadhwa RK, Uy NTL, et al. Antiemetic effectiveness of intramuscular hydroxyzine compared to intramuscular droperidol [ J]. Anesth Analg, 1981,60( 11 ) :783-788.
  • 4Kranke P,Apefel CC,Papenfuss T,et al. An increased body mass index is no risk factor for postoperative nausea and vomiting[ J]. Acta Anaesthesiol Scand,2001,45 (2) : 160-166.
  • 5Cook-Sather SD, Harris KA, Schreiner MS. Cisapride does not prevent postoperative vomiting in children [ J ]. Anesth Analg,2002,94 ( 1 ) :50-54.
  • 6Tatic M, Skoric S, Miskovic S, et al. Postoperative nausea and vomiting[ J ]. Med Pregl,2003,56 (9) :431-435.
  • 7Apfel CC,Kranke P, Katz MH,et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design [ J ]. Br J Anaesth, 2002,88 (11 ) :659-668.
  • 8McDowell RH, Scher CS, Barst SM. Total intravenous anesthesia for children undergoing brief diagnostic or therapeutic procedures [ J ]. J Clin Anesth,1995,7(4) :273-280.
  • 9Urdugenc H, Guler T, Gunes Y,et al. Comparative study of the anti-emetic efficacy of ondansetron, propofol and midazolam in the early postoperative period [ J ]. Eur J Anaesthesiol ,2004 ,21 ( 1 ) :60-65.
  • 10Tramer M, Moore A, McQuay H. Propofol anaesthesia and postoperative nausea and vomiting:quantitative systematic review of randomized controlled studies [ J ]. Br J Anaesth, 1997,78 (3) :247-255.

二级参考文献38

  • 1Kranke P, Apefel CC, Papenfuss T, et al. An increased body mass index is no risk factor for postoperative nausea and vomiting. A systematic review and results of original data[J]. Acta Anaesthesiol Scand,2001,45:160-166.
  • 2Tramer M, Moore A, McQuay H. Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs total i.v. anaesthesia with propofol[J]. Br J Anaesth , 1997, 78;256-259.
  • 3Chhibber AK, Lustik SJ, Thakur R, et al. Effects of anticholinergics on postoperative vomiting, recovery, and hospital stay in children undergoing tonsillectomy with or without adenoidectomy[J]. Anesthesiology, 1999, 90:697-700.
  • 4Tattersall FD, Rycroft W, Francis B,et al.Tachykinin NK1 receptor antagonists act centrally to inhibit emesis induced by the chemotherapeutic agent cisplatin in ferreta[J]. Neuropharmacology, 1996, 35(6):1121-1129.
  • 5Tramer MR. A rational approach to the control of postoperative nausea and vomiting: evidence from systematic reviews. Part I. efficacy and harm of antiemetic interventions, and methodological issues[J]. Acta Anaesthesiol Scand ,2001 , 45:4-13.
  • 6Lerman J. Surgical and patient factors involved in postoperative nausea and vomiting[J]. Br J Anaesth,1992, 69(Suppl 1):S24-S32.
  • 7Zedie N,Amory DW,Wagner BK, et al. Comparison of interanasal mid azolam and sufentanil premedication in pediatric outpatients[J].Clin Pharmacol Ther,199 6,59(2):341-348.
  • 8Splinter WM, Macneill HB, Menard EA, et al. Midazolam reduce vomiting after tonsillectomy in children[J]. Can J Anaesth,1995,42(2):201-203.
  • 9Lerman J. Surgical and patient factors involved in postoperative nausea and vomiting[J]. Br J Anaesth,1992,69(suppl 1):24S-32S.
  • 10Sinclair DR, Chung F, Mezei G. Can postoperative nausea and vomiting be predicted? [J]. Anesthesiology ,1999,91:109-118.

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