[正颌外科手术后恶心呕吐的原因及预防策略]
[Causes and prevention strategies of postoperative nausea and vomiting after orthognathic surgery].
作者信息
Luo Kai, Liu Le, Zhao Le, Tang Yanglu, Luo En, Ji Yang
机构信息
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Anesthesiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Orthognathic and Temporomandibular Joint Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
出版信息
Hua Xi Kou Qiang Yi Xue Za Zhi. 2025 Jun 1;43(3):305-313. doi: 10.7518/hxkq.2025.2025072.
Postoperative nausea and vomiting (PONV) are common complications that mainly occur within 24 h after orthognathic surgery. The incidence of nausea and vomiting after orthognathic surgery remains high and is a difficult problem for patients and surgeons. These complications not only affect wound healing and increase the risk of postoperative bleeding. Vomit and blood may also cause nausea and vomiting, which results in a vicious cycle. Frequent nausea and vomiting are a painful experience and more serious than postoperative pain. They are one of the main reasons for postoperative infection, delayed discharge, and increased hospitalization costs and affect patient satisfaction. In this review, the author combined literature review and clinical experience and summarized and analyzed the causes of orthognathic nausea and vomiting and prevention and treatment strategies to improving the related clinical process.
术后恶心呕吐（PONV）是常见并发症，主要发生在正颌外科手术后24小时内。正颌外科手术后恶心呕吐的发生率仍然很高，这对患者和外科医生来说都是一个难题。这些并发症不仅影响伤口愈合，还会增加术后出血的风险。呕吐物和血液也可能导致恶心和呕吐，从而形成恶性循环。频繁的恶心呕吐是一种痛苦的经历，比术后疼痛更严重。它们是术后感染、延迟出院、住院费用增加的主要原因之一，并影响患者满意度。在本综述中，作者结合文献回顾和临床经验，总结并分析了正颌术后恶心呕吐的原因以及预防和治疗策略，以改善相关临床过程。
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