Schuster Rob, Alami Ramzi S, Curet Myriam J, Paulraj Nirupa, Morton John M, Brodsky Jay B, Brock-Utne John G, Lemmens Harry J M
Department of Surgery, Stanford University School of Medicine, CA 94305, USA.
Obes Surg. 2006 Jul;16(7):848-51. doi: 10.1381/096089206777822197.
Laparoscopic Roux-en-Y gastric bypass (RYGBP) is a commonly performed operation for morbid obesity. A significant number of patients experience postoperative nausea and vomiting (PONV) following this procedure. The aim of this study was to determine the effect, if any, of intra-operative fluid replacement on PONV.
Patients who underwent laparoscopic (RYGBP) for morbid obesity during a 12-month period were included in this retrospective analysis. Demographic data including age, gender, and body mass index (BMI) were collected. Perioperative data also included total volume of intra-operative fluids administered, rate of administration, urine output, length of surgery, and incidence of PONV as determined by nursing or anesthesia records in the postanesthesia care unit (PACU). Data were analyzed by t-test.
The table below depicts demographic and perioperative data, comparing patients who experienced PONV (n=125) in the PACU with those who did not (n=55). Values are mean +/- standard deviation.
PONV is a common complication after laparoscopic RYGB. Patient who did not experience PONV received a larger volume of intravenous fluid at a faster rate than similar patients who complained of PONV.
腹腔镜Roux-en-Y胃旁路术（RYGBP）是一种常用于治疗病态肥胖的手术。大量患者在该手术后会出现术后恶心呕吐（PONV）。本研究的目的是确定术中补液对PONV是否有影响。
本回顾性分析纳入了在12个月期间接受腹腔镜RYGBP治疗病态肥胖的患者。收集了包括年龄、性别和体重指数（BMI）在内的人口统计学数据。围手术期数据还包括术中补液总量、补液速度、尿量、手术时长以及麻醉后护理单元（PACU）中由护理或麻醉记录确定的PONV发生率。数据采用t检验进行分析。
下表展示了人口统计学和围手术期数据，比较了在PACU中出现PONV的患者（n = 125）和未出现PONV的患者（n = 55）。数值为平均值±标准差。
PONV是腹腔镜RYGB术后的常见并发症。未出现PONV的患者比抱怨有PONV的类似患者接受了更快速度、更大容量的静脉补液。
