术后/出院后恶心呕吐：循证预防与治疗
Postoperative/postdischarge nausea and vomiting: evidence-based prevention and treatment.
作者信息
Schlesinger Tobias, Weibel Stephanie, Kranke Peter
机构信息
Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital of Wuerzburg, Wuerzburg, Germany.
出版信息
Curr Opin Anaesthesiol. 2023 Feb 1;36(1):109-116. doi: 10.1097/ACO.0000000000001200. Epub 2022 Oct 10.
PURPOSE OF REVIEW
Postoperative/postdischarge nausea and vomiting (PONV/PDNV) remains a relevant issue in perioperative care. Especially in outpatient surgery, PONV can prevent discharge or lead to unplanned readmission.
RECENT FINDINGS
Evidence on prophylaxis and treatment of PONV is growing, but implementation remains poor.
SUMMARY
A liberal, universal PONV management is now endorsed by the guidelines. Specific evidence concerning prevention and (at-home) treatment of PDNV is still scarce.
综述目的
术后/出院后恶心呕吐（PONV/PDNV）仍是围手术期护理中的一个重要问题。尤其是在门诊手术中，PONV可能会妨碍出院或导致计划外再次入院。
最新发现
关于PONV预防和治疗的证据不断增加，但实际应用情况仍然不佳。
总结
目前指南支持采用宽松、通用的PONV管理方法。关于PDNV预防和（家庭）治疗的具体证据仍然很少。
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