Bentley A, Boyd K
Marie Curie Centre, Fairmile, Frogston Road West, Edinburgh EH10 7DR, UK.
Palliat Med. 2001 May;15(3):247-53. doi: 10.1191/026921601678576239.
This prospective audit aimed to evaluate a guideline for the management of nausea and vomiting in palliative care inpatients. Clinical pictures were used to guide diagnosis and treatment, with potentially reversible causes being addressed where appropriate. Over a 3-month period, 40 patient episodes occurred, all of which were included in the audit. The commonest clinical pictures were gastric stasis/outlet obstruction (35%) and chemical/metabolic (30%). Management according to the guideline was effective. Nausea was abolished in 28 of 34 cases (82%) and vomiting resolved completely in 26 of 31 cases (84%). Symptoms were totally controlled in a mean time of 3.4 days. Nausea and vomiting, although distressing symptoms, can be controlled in the majority of cases. Multi-centre prospective audit, using a standardized tool, may prove useful in allowing larger numbers of patients to be systematically analysed and individual centres to compare outcomes.
这项前瞻性审计旨在评估姑息治疗住院患者恶心和呕吐管理指南。利用临床症状指导诊断和治疗，在适当时处理可能可逆的病因。在3个月期间，发生了40例患者事件，所有这些都纳入了审计。最常见的临床症状是胃潴留/出口梗阻（35%）和化学/代谢性（30%）。按照指南进行的管理是有效的。34例中的28例（82%）恶心症状消除，31例中的26例（84%）呕吐完全缓解。症状在平均3.4天内得到完全控制。恶心和呕吐虽是令人痛苦的症状，但在大多数情况下可以得到控制。使用标准化工具进行多中心前瞻性审计，可能有助于对更多患者进行系统分析，并让各个中心比较结果。
