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小剂量地塞米松复合氟哌利多对妇科腔镜术后恶心呕吐的防治

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摘要 目的观察分析小剂量地塞米松复合氟哌利多对妇科腔镜术后恶心呕吐(PONV)防治中的作用、优势。方法选择经Apfle评分法评定PONV的发生率大于或等于39%、行妇腔镜手术的患者120例。随机分成小剂量地塞米松复合氟哌利多组、氟哌利多组和对照组,每组40例。记录麻醉时间、气腹时间及芬太尼的用量。记录3组术后4h及4～24hPONV(Ⅲ～Ⅳ)的发生率。结果小剂量地塞米松复合氟哌利多组与氟哌利多组及对照组相比PONV(Ⅲ～Ⅳ)的发生率显著降低(P<0.01)。3组麻醉时间、气腹时间、芬太尼用量相比差异无统计学意义。结论小剂量地塞米松和氟哌利多联合应用能显著降低PONV的发生,无锥体外系反应,且具有较高效价比。
作者 赵蕊
机构地区 河北省唐山市协和医院麻醉科
出处 《重庆医学》 CAS CSCD 北大核心 2009年第23期3018-3019,共2页 Chongqing medicine
关键词 小剂量地塞米松 氟哌利多 术后恶心呕吐
分类号 R614 [医药卫生—麻醉学]
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参考文献6

  • 1Wang JJ, Ho ST, Uen YH, et al. Small-dose dexamethasone reduces nausea and vomiting Mter laparoscopic cholecystectomy:A comparison of tropisetron with saline[J]. Anesth Analg,2002,95:229.
  • 2权翔,叶铁虎.术后恶心呕吐的风险评估及防治方法[J].国际麻醉学与复苏杂志,2007,28(3):253-256. 被引量：33
  • 3Steve Sniadach M, Alberts MS. A comparison of the prophylactic effect of ondansetron and droperidol on patients undergoing gynecologic laparoscopy[J]. Anesth Analg, 1997,85 : 797.
  • 4Yi Lee, Hsien-Yong I.ai, Pei Chin lin, et al. Dexamethasone prevents postoperative nausea and vomiting more effectively in women with motion sickness[J]. Can J An aesth,2003,50(3) :232.
  • 5Hefferana AM, Roubotham DJ. Postoperative nausea and vomiting-time for balanced antiemesis? [J]. Br J Anaesth, 2000,85 : 675.
  • 6Jeng-Chai Huang, Ja-Ping Shieh, Chao-Shun Tang, et al. Low-dose dexamethasone effectively prevents postoperative nausea and vomiting after ambulatory laparoscopic surgery[J]. Can J Anaesth,2001,48(10):973.

二级参考文献31

  • 1Koivuranta M, Lr E, Snare L,et al. A survey of postoperative nausea and vomiting. Anaesthesia,1997,52:443-449.
  • 2Sinclair DR, Chung F, Mezei G. Can postoperative nausea and vomiting be predicted? Anesthesiology,1999,91:109-118.
  • 3Watcha MF, White PF. Postoperative nausea and vomiting: its etiology, treatment and prevention. Anesthesiology,1992,77:162-184.
  • 4Apfel CC, Laara E, Koivuranta M,et al. A simplified risk score for predicting postoperative nausea and vomiting: conclusion from cross- validations between two centers. Anesthesiology,1999,91:693-700.
  • 5Trainer MR, Fuchs-Buder T. Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risk of residual paralysis. A systematic review. Br J Anaesth,1999,82:379-386.
  • 6Tramer M, Moore A, McQuay H. Propofol anaesthesia and postoperative nausea and vomiting: quantitative systematic review of randomized controlled studies. Br J Anaesth,1997,78:247-255.
  • 7Unlugenc H, Guler T, Gunes Y,et al. Comparative study of the antiemetic efficacy of ondansetron, propofol and midazolam in the early postoperative period. Eur J Anaesthesiology,2004,21:60-65.
  • 8Eberhart LH, Morin AM, Guber D,et al. Applicability of risk scores for postoperative nausea and vomiting in adults to paediatric patients. Br J Anaesth, 2004,93:386-392.
  • 9Tramer MR,Reynolds JM,Moore RA,et al.Efficacy,dose-response,and safety of ondansetron in prevention of postoperative nausea and vomiting:a quantitative systematic review of randomized placebo-controlled trials. Anesthesiology, 1997, 87:1277-1289.
  • 10Tang J, Wang B, White PF,et al. The effect of timing of ondansetron administration on its efficacy,cost-effectiveness, and cost-benefit as a prophylactic antiemetic in the ambulatory setting. Anesth Analg, 1998,86:274-282.

共引文献32

重庆医学
2009年 第23期

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