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术后恶心呕吐

Postoperative nausea and vomiting.

作者信息

Scholz J, Steinfath M, Tonner P H

机构信息

Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany.

出版信息

Curr Opin Anaesthesiol. 1999 Dec;12(6):657-61. doi: 10.1097/00001503-199912000-00004.

DOI:10.1097/00001503-199912000-00004
PMID:17016262
Abstract

Worldwide, approximately 80-100 million surgical procedures are performed under general anaesthesia each year. Despite major advances in surgical techniques and the introduction of new anaesthetic agents with reduced emetogenicity, the incidence of postoperative nausea and vomiting (20-30%) has remained largely unchanged over the past few decades. Postoperative nausea and vomiting are of greatest concern after ambulatory surgical procedures because they may delay discharge and result in unanticipated hospital admission, thus increasing the cost of the procedure by a large margin. This review discusses the current status of the antiemetic therapy of postoperative nausea and vomiting.

摘要

在全球范围内,每年约有8000万至1亿例手术在全身麻醉下进行。尽管手术技术取得了重大进展,并且引入了致吐性降低的新型麻醉剂,但在过去几十年中,术后恶心呕吐的发生率(20%-30%)基本保持不变。术后恶心呕吐在门诊手术中最为令人担忧,因为它们可能会延迟出院并导致意外住院,从而大幅增加手术费用。本文综述了术后恶心呕吐的止吐治疗现状。

相似文献

1
Postoperative nausea and vomiting.术后恶心呕吐
Curr Opin Anaesthesiol. 1999 Dec;12(6):657-61. doi: 10.1097/00001503-199912000-00004.
2
Pain, nausea, vomiting and ocular complications delay discharge following ambulatory microdiscectomy.疼痛、恶心、呕吐及眼部并发症会延迟门诊显微椎间盘切除术患者的出院时间。
Can J Anaesth. 2003 May;50(5):514-8. doi: 10.1007/BF03021067.
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The effect of anaesthetic technique on postoperative nausea and vomiting after day-case gynaecological laparoscopy.麻醉技术对日间妇科腹腔镜手术后恶心呕吐的影响。
Anaesth Intensive Care. 2002 Apr;30(2):153-9. doi: 10.1177/0310057X0203000205.
4
Impact of an antiemetic protocol on postoperative nausea and vomiting in children.
Paediatr Anaesth. 2001 Jan;11(1):85-91. doi: 10.1046/j.1460-9592.2001.00594.x.
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[Propofol and postoperative nausea and/or vomiting].[丙泊酚与术后恶心和/或呕吐]
Anaesthesist. 1997 Sep;46(9):776-82. doi: 10.1007/s001010050468.
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Management of postoperative nausea and vomiting in children.儿童术后恶心呕吐的管理
Paediatr Drugs. 2007;9(1):47-69. doi: 10.2165/00148581-200709010-00005.
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Postoperative nausea and vomiting. Its etiology, treatment, and prevention.术后恶心呕吐。其病因、治疗及预防
Anesthesiology. 1992 Jul;77(1):162-84. doi: 10.1097/00000542-199207000-00023.
8
Postoperative vomiting in children. A persisting unsolved problem.
Eur J Pediatr Surg. 1993 Aug;3(4):206-8. doi: 10.1055/s-2008-1063544.
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Cost-effectiveness analysis of antiemetic therapy for ambulatory surgery.门诊手术中抗呕吐治疗的成本效益分析。
J Clin Anesth. 1994 Sep-Oct;6(5):370-7. doi: 10.1016/s0952-8180(05)80006-6.
10
Postoperative symptoms 24 hours after ambulatory anaesthesia.非住院麻醉术后24小时的症状
Can J Anaesth. 1996 Nov;43(11):1121-7. doi: 10.1007/BF03011838.

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Protecting effect of gabapentin for nausea and vomiting in the surgery of cesarean after spinal anesthesia.加巴喷丁对腰麻后剖宫产手术中恶心呕吐的保护作用。
Anesth Essays Res. 2015 Sep-Dec;9(3):401-4. doi: 10.4103/0259-1162.157469.
2
The prevalence of postoperative pain in the first 48 hours following day surgery at a tertiary hospital in Nairobi.内罗毕一家三级医院日间手术后48小时内术后疼痛的发生率。
Afr Health Sci. 2013 Sep;13(3):768-76. doi: 10.4314/ahs.v13i3.36.
3
[Vomiting after gynecologic laparoscopy and under general anesthesia is associated with changes in excretion of serotonin metabolites].
[妇科腹腔镜检查后全身麻醉下的呕吐与血清素代谢产物排泄变化有关]
Anaesthesist. 2004 Mar;53(3):228-34. doi: 10.1007/s00101-003-0636-2.
4
[Prophylaxis of postoperative nausea and vomiting (PONV) in children undergoing strabismus surgery. Sevoflurane/N2O plus dimenhydrinate vs.propofol/remifentanil plus dimenhydrinate].[斜视手术患儿术后恶心呕吐(PONV)的预防。七氟烷/N₂O加茶苯海明与丙泊酚/瑞芬太尼加茶苯海明的比较]
Anaesthesist. 2003 Jul;52(7):586-95. doi: 10.1007/s00101-003-0516-9. Epub 2003 Jun 18.