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生姜对与PONV相关的眼科手术有预防作用吗?一项临床试验。

Dose Ginger Have Preventative Effects on PONV-Related Eye Surgery? A Clinical Trial.

作者信息

Sedigh Maroufi Shahnam, Moradimajd Parisa, Moosavi Seyed Ali Akbar, Imani Farnad, Samaee Hamidreza, Oguz Mehmet

机构信息

Department of Anesthesia, Iran University of Medical Sciences, Tehran, Iran.

Department of Molecular Biology, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Anesth Pain Med. 2019 Oct 22;9(5):e92072. doi: 10.5812/aapm.92072. eCollection 2019 Oct.

Abstract

BACKGROUND

Postoperative nausea and vomiting (PONV) is considered a common complication of anesthesia, which, particularly in eye surgery, may exert pressure on stitches and open or leak the surgical wound, leading to bleeding.

OBJECTIVES

We aimed to study the effect of ginger on PONV and changes in vital signs after eye surgery.

METHODS

In this triple-blind randomized controlled trial, 120 candidate patients for eye surgery were divided into group A (n = 40) and group B (n = 40). Patients in group A received the capsules of ginger 1 g while patients in group B received a placebo one hour before the procedure with 30 mL water. The incidence of nausea and the frequency of vomiting were evaluated at 0, 15, 30 minutes, and 2 hours after the operation. Also, the vital signs of the participants were recorded at certain times.

RESULTS

The results demonstrated a statistically significant difference in the frequency of nausea between group A and group B (P < 0.05). The severity of nausea was lower in group A than in group B immediately and 2 hours after recovery (P < 0.05). The incidence of vomiting was significantly lower in group A than in group B (P < 0.05). The vital signs were not significantly different between group A and group B (P > 0.05).

CONCLUSIONS

Ginger was effective in the prevention of PONV after eye surgery but had no impact on vital signs. Hence, ginger is proposed to use as a low-cost, prophylactic measure for PONV reduction.

摘要

背景

术后恶心呕吐(PONV)被认为是麻醉常见的并发症,尤其在眼科手术中,可能会对缝线施加压力,导致手术伤口裂开或渗漏,进而引起出血。

目的

我们旨在研究生姜对眼科手术后PONV及生命体征变化的影响。

方法

在这项三盲随机对照试验中,120名眼科手术候选患者被分为A组(n = 40)和B组(n = 40)。A组患者在手术前1小时服用1克生姜胶囊,B组患者服用安慰剂,均用30毫升水送服。在术后0、15、30分钟和2小时评估恶心发生率和呕吐频率。此外,在特定时间记录参与者的生命体征。

结果

结果显示,A组和B组恶心频率存在统计学显著差异(P < 0.05)。A组恶心严重程度在恢复后即刻和2小时均低于B组(P < 0.05)。A组呕吐发生率显著低于B组(P < 0.05)。A组和B组生命体征无显著差异(P > 0.05)。

结论

生姜对预防眼科手术后PONV有效,但对生命体征无影响。因此,建议将生姜用作降低PONV的低成本预防措施。

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