摘要
目的 :探讨地塞米松对颈丛阻滞下甲状腺手术后恶心呕吐的预防作用 ,并与氟哌啶作比较。方法 :将 90例ASAⅠ～Ⅱ级于颈丛阻滞下行甲状腺手术患者随机均分 3组 :对照组不用药物 ,地塞米松组为地塞米松 10mg ,氟哌啶组为氟哌啶 5mg ,均为术前 30min静脉注射。 结果 :地塞米松组与氟哌啶组恶心呕吐无显著性差异 (P >0 0 5 ) ,与对照组有显著性差异 (P <0 0 5 ) ,氟哌啶组有明显的不良反应 (P <0 0 5 )。结论 :地塞米松可用来预防颈丛阻滞下甲状腺手术后恶心呕吐 。
To investigate the effect of dexamethasone preventing nausea and vomiting in cervical plexus block anesthesia of thyroid operation,which was compared with droperidol. METHOD:90 cases of thyroed operation conducted cervical plexus block anesthesia were didided into three group.The first two groups were injected 10 mg dexamethasone and 5 mg droperidol respectively and the third group was Lontrol group.RESULTS:Dexamethasone group and droperido group had much less incidence of nausea and vomiting than control group(P<0.05)and there was no significant difference between the two group (P>005). But,droperidol group presented obvious side reactions compared to dexamethasone group (P<005).CONCLUSION:Dexamethasone can be used for prevention of postoperative nausea and vomiting in cervical plexus block anesthesia of thyroid operation and has less side reaction than droperidol.
出处
《九江医学》
2001年第2期77-78,共2页
Jiujiang Medical Journal
关键词
甲状腺手术
颈丛阻滞
恶心呕吐
术后
预防
地塞米松
氟哌啶
thgroid operation
cervical plexus block anesthesia
nausea and vomiting
postoperation
prevention
dexamethasone
droperidol
