通过审计显著减少小儿扁桃体切除术后呕吐情况
A significant reduction in paediatric post-tonsillectomy vomiting through audit.
作者信息
Bennett A M D, Emery P J
机构信息
ENT Department, Colchester General Hospital, Colchester, UK.
出版信息
Ann R Coll Surg Engl. 2008 Apr;90(3):226-30. doi: 10.1308/003588408X261591.
INTRODUCTION
Postoperative vomiting occurs more frequently after tonsillectomy than any other commonly performed paediatric operation. Postoperative vomiting is also the commonest cause of morbidity and re-admission following tonsillectomy. We present a successful completed audit cycle and literature review on the subject.
PATIENTS AND METHODS
Data on the risk factors for postoperative vomiting, whether the patient vomited and details of the patient's vomitus were collected prospectively on consecutive patients and compared with a gold standard. Changes in practice were agreed and a second cycle performed.
RESULTS
Two cycles and a total of 107 patients were included in the audit. A significant reduction in vomiting from 27% to 11% was achieved following the introduction of routine use of intravenous dexamethasone during surgery.
CONCLUSIONS
This simple prospective audit of paediatric post-tonsillectomy vomiting has resulted in a statistically significant reduction in vomiting which would appear to be due to use of intra-operative steroids.
引言
扁桃体切除术后恶心呕吐的发生率高于其他任何常见的儿科手术。术后恶心呕吐也是扁桃体切除术后发病和再次入院的最常见原因。我们展示了一个关于该主题的成功完成的审核周期及文献综述。
患者与方法
前瞻性收集连续患者术后恶心呕吐的危险因素、患者是否呕吐以及呕吐物的详细信息，并与金标准进行比较。商定实践中的改变并进行第二个周期。
结果
审核纳入了两个周期共107例患者。在手术期间常规使用静脉注射地塞米松后，呕吐发生率从27%显著降至11%。
结论
这项关于儿科扁桃体切除术后呕吐的简单前瞻性审核使呕吐发生率在统计学上显著降低，这似乎是由于术中使用了类固醇。
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