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麻醉及小手术后的恶心与呕吐。

Nausea and vomiting after anesthesia and minor surgery.

作者信息

Winning T J, Brock-Utne J G, Downing J W

出版信息

Anesth Analg. 1977 Sep-Oct;56(5):674-7. doi: 10.1213/00000539-197709000-00014.

DOI:10.1213/00000539-197709000-00014
PMID:562092
Abstract

The antiemetic effects of droperidol, diphenidol, and placebo were compared in 210 patients subjected to minor gynecologic or urologic procedures. Atropine (0.6 mg), meperidine (1 mg/kg) body mass, and either droperidol (5 mg), diphenidol (40 mg), or 2 ml of 0.9% saline were administered IM, 1 hour before general anesthesia. Trial drugs were presented in coded ampules so that the study was conducted double-blind. Droperidol appeared superior to both diphenidol (p less than 0.01) and placebo (p less than 0.001) in the prevention of vomiting, and reduced the incidence of nausea when compared to saline (p less than 0.05). Forty-four patients experienced side effects, which occurred with similar frequency in the 3 groups studied.

摘要

在210名接受小型妇科或泌尿外科手术的患者中,比较了氟哌利多、地芬尼多和安慰剂的止吐效果。在全身麻醉前1小时,肌肉注射阿托品(0.6毫克)、哌替啶(1毫克/千克体重)以及氟哌利多(5毫克)、地芬尼多(40毫克)或2毫升0.9%生理盐水。试验药物装在编码安瓿中,因此研究采用双盲进行。在预防呕吐方面,氟哌利多似乎优于地芬尼多(p<0.01)和安慰剂(p<0.001),与生理盐水相比,氟哌利多降低了恶心的发生率(p<0.05)。44名患者出现了副作用,在所研究的3组中副作用出现的频率相似。

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引用本文的文献

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Pharmacological Agents Affecting Emesis : A Review (Part II).影响呕吐的药物制剂:综述(第二部分)
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Drugs for preventing postoperative nausea and vomiting.预防术后恶心呕吐的药物。
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Risks and benefits of drugs used in the management of postoperative nausea and vomiting.用于术后恶心呕吐管理的药物的风险与益处。
Drug Saf. 1996 Mar;14(3):181-97. doi: 10.2165/00002018-199614030-00005.
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Can Anaesth Soc J. 1981 May;28(3):259-62. doi: 10.1007/BF03005511.
6
An evaluation of Droperidol for preventing nausea and vomiting after deep intravenous sedation for ambulatory dental surgery.氟哌利多预防非住院牙科手术深度静脉镇静后恶心和呕吐的效果评估。
Anesth Prog. 1989 Jan-Feb;36(1):9-12.
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