恶心、呕吐和打嗝：机制与治疗综述
Nausea, vomiting, and hiccups: a review of mechanisms and treatment.
作者信息
Becker Daniel E
机构信息
General Dental Practice Residency, Miami Valley Hospital, Dayton, Ohio, USA.
出版信息
Anesth Prog. 2010 Winter;57(4):150-6; quiz 157. doi: 10.2344/0003-3006-57.4.150.
Abstract
Nausea, vomiting, and hiccups are troubling complications associated with sedation and general anesthesia. This article will review the basic pathophysiology of these events and current recommendations for their prevention and management.
摘要
恶心、呕吐和打嗝是与镇静和全身麻醉相关的令人困扰的并发症。本文将综述这些事件的基本病理生理学以及目前关于其预防和管理的建议。
相似文献
1
Nausea, vomiting, and hiccups: a review of mechanisms and treatment.恶心、呕吐和打嗝：机制与治疗综述
Anesth Prog. 2010 Winter;57(4):150-6; quiz 157. doi: 10.2344/0003-3006-57.4.150.
2
Newer trends in the prevention or treatment of postoperative nausea and vomiting.
CRNA. 1999 Feb;10(1):24-33.
3
Neurokinin-1 receptor antagonists in the prevention of postoperative nausea and vomiting.神经激肽-1受体拮抗剂在预防术后恶心和呕吐中的应用
Br J Anaesth. 2009 Jul;103(1):7-13. doi: 10.1093/bja/aep125. Epub 2009 May 19.
4
[The postoperative nausea and vomiting problem].
Anesteziol Reanimatol. 1999 Sep-Oct(5):74-7.
5
What is new in the battle against postoperative nausea and vomiting?在防治术后恶心和呕吐方面有哪些新进展？
Best Pract Res Clin Anaesthesiol. 2018 Jun;32(2):137-148. doi: 10.1016/j.bpa.2018.06.005. Epub 2018 Jul 2.
6
Prophylaxis of postoperative nausea and vomiting: controversies in the use of serotonin 5-hydroxytryptamine subtype 3 receptor antagonists.术后恶心呕吐的预防：5-羟色胺5-羟色胺3型受体拮抗剂使用中的争议
J Clin Anesth. 2006 Jun;18(4):304-18. doi: 10.1016/j.jclinane.2005.06.012.
7
Non-analgesic effects of opioids: opioid-induced nausea and vomiting: mechanisms and strategies for their limitation.阿片类药物的非镇痛作用：阿片类药物引起的恶心和呕吐：其限制的机制和策略。
Curr Pharm Des. 2012;18(37):6043-52. doi: 10.2174/138161212803582540.
8
The next generation of antiemetics for the management of postoperative nausea and vomiting.用于术后恶心和呕吐管理的下一代止吐药。
Best Pract Res Clin Anaesthesiol. 2020 Dec;34(4):759-769. doi: 10.1016/j.bpa.2020.11.004. Epub 2020 Nov 14.
9
[Conference of experts--short text. Management of postoperative nausea and vomiting. French Society of Anesthesia and Resuscitation].
Ann Fr Anesth Reanim. 2008 Oct;27(10):866-78. doi: 10.1016/j.annfar.2008.09.004. Epub 2008 Oct 25.
10
Practical selection of antiemetics.止吐药的实际选择
Am Fam Physician. 2004 Mar 1;69(5):1169-74.
引用本文的文献
1
Thymol as a Potential Natural Antiemetic: Insights From In Vivo and In Silico Studies.百里香酚作为一种潜在的天然止吐药：来自体内和计算机模拟研究的见解。
Food Sci Nutr. 2025 Sep 10;13(9):e70832. doi: 10.1002/fsn3.70832. eCollection 2025 Sep.
2
Neuroendoscopy and Postoperative Nausea and Vomiting: Pathophysiology, Incidence and Management Strategies.神经内镜与术后恶心呕吐：病理生理学、发生率及管理策略
Brain Sci. 2025 May 29;15(6):586. doi: 10.3390/brainsci15060586.
3
The neural mechanism and pathways underlying postoperative nausea and vomiting: a comprehensive review.术后恶心呕吐的神经机制及途径：综述
Eur J Med Res. 2025 May 5;30(1):362. doi: 10.1186/s40001-025-02632-1.
4
An Unusual Clinical Manifestation of Nasopharyngeal Cancer Treatment: The Curious Case of Hiccups.鼻咽癌治疗的一种不寻常临床表现：呃逆的奇闻病例
J Med Phys. 2025 Jan-Mar;50(1):164-166. doi: 10.4103/jmp.jmp_223_24. Epub 2025 Mar 24.
5
Hydrocortisone Therapy in Post-Stroke Management of Persistent Hiccups: A Case Report.氢化可的松治疗中风后持续性呃逆：一例报告
Cureus. 2024 Mar 23;16(3):e56800. doi: 10.7759/cureus.56800. eCollection 2024 Mar.
6
The Association between Molecular Initiating Events and Drug-Induced Hiccups.分子起始事件与药物性呃逆之间的关联。
Pharmaceuticals (Basel). 2024 Mar 16;17(3):379. doi: 10.3390/ph17030379.
7
Antiemetic activity of abietic acid possibly through the 5HT and muscarinic receptors interaction pathways.松香酸的止吐活性可能是通过 5-HT 和毒蕈碱受体相互作用途径实现的。
Sci Rep. 2024 Mar 19;14(1):6642. doi: 10.1038/s41598-024-57173-0.
8
Prevalence and associated factors of postoperative nausea and vomiting among adult patients undergoing elective surgery.择期手术成年患者术后恶心呕吐的患病率及相关因素
Ann Med Surg (Lond). 2024 Jan 5;86(3):1304-1308. doi: 10.1097/MS9.0000000000001678. eCollection 2024 Mar.
9
A pickup for a case of hiccups: point-of-care ultrasonography detects a liver abscess in a 74-year-old gentleman.一例打嗝病例的意外发现：床旁超声检查发现一名74岁男性患有肝脓肿。
CJEM. 2024 Feb;26(2):128-129. doi: 10.1007/s43678-023-00623-x. Epub 2023 Dec 15.
10
Hiccups: Nerve Irritation or Masquerading as Acute Coronary Syndrome.打嗝：神经刺激还是伪装成急性冠状动脉综合征
Cureus. 2023 Oct 31;15(10):e48069. doi: 10.7759/cureus.48069. eCollection 2023 Oct.
本文引用的文献
1
Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting.刺激腕部穴位内关以预防术后恶心和呕吐。
Cochrane Database Syst Rev. 2009 Apr 15(2):CD003281. doi: 10.1002/14651858.CD003281.pub3.
2
Risk factors for severe postoperative nausea and vomiting in a randomized trial of nitrous oxide-based vs nitrous oxide-free anaesthesia.在一项基于氧化亚氮与无氧化亚氮麻醉的随机试验中，术后严重恶心呕吐的危险因素。
Br J Anaesth. 2008 Oct;101(4):498-505. doi: 10.1093/bja/aen230. Epub 2008 Aug 5.
3
Does supplemental oxygen reduce postoperative nausea and vomiting? A meta-analysis of randomized controlled trials.补充氧气能减少术后恶心和呕吐吗？一项随机对照试验的荟萃分析。
Anesth Analg. 2008 Jun;106(6):1733-8. doi: 10.1213/ane.0b013e3181731c5a.
4
Avoidance of nitrous oxide for patients undergoing major surgery: a randomized controlled trial.避免对接受大手术的患者使用氧化亚氮：一项随机对照试验。
Anesthesiology. 2007 Aug;107(2):221-31. doi: 10.1097/01.anes.0000270723.30772.da.
5
Perioperative acupuncture and related techniques.围手术期针灸及相关技术。
Anesthesiology. 2005 May;102(5):1031-49; quiz 1077-8. doi: 10.1097/00000542-200505000-00024.
6
Comparison of surgical site and patient's history with a simplified risk score for the prediction of postoperative nausea and vomiting.手术部位及患者病史与简化风险评分对术后恶心呕吐预测的比较
Anaesthesia. 2004 Nov;59(11):1078-82. doi: 10.1111/j.1365-2044.2004.03875.x.
7
A factorial trial of six interventions for the prevention of postoperative nausea and vomiting.一项关于六种预防术后恶心呕吐干预措施的析因试验。
N Engl J Med. 2004 Jun 10;350(24):2441-51. doi: 10.1056/NEJMoa032196.
8
Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: a systematic review.丙泊酚、异氟烷、七氟烷和地氟烷用于门诊麻醉后的恢复情况比较：一项系统评价
Anesth Analg. 2004 Mar;98(3):632-41, table of contents. doi: 10.1213/01.ane.0000103187.70627.57.
9
Consensus guidelines for managing postoperative nausea and vomiting.术后恶心呕吐管理的共识指南。
Anesth Analg. 2003 Jul;97(1):62-71, table of contents. doi: 10.1213/01.ane.0000068580.00245.95.
10
Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design.挥发性麻醉剂可能是术后早期而非延迟性呕吐的主要原因：一项析因设计的随机对照试验。
Br J Anaesth. 2002 May;88(5):659-68. doi: 10.1093/bja/88.5.659.
Zotero 插件