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氟哌利多(脱氢苯哌利多):静脉注射给予妇科患者时的术后止吐作用。

Droperidol (Dehydrobenzperidol): postoperative anti-emetic effect when given intravenously to gynaecological patients.

作者信息

Mortensen P T

出版信息

Acta Anaesthesiol Scand. 1982 Feb;26(1):48-52. doi: 10.1111/j.1399-6576.1982.tb01724.x.

DOI:10.1111/j.1399-6576.1982.tb01724.x
PMID:7072473
Abstract

In a double-blind investigation, comprising 300 gynaecological patients, the prophylactic use of droperidol i.v. at the start of the anaesthesia produced significant reduction in the frequency of nausea and vomiting postoperatively in the first 24 h from 34.4% to 10.3% (P=0.0001). There was no significant difference between the effect of droperidol 2.5 mg and 5 mg (P=0.45). Increased postoperative sedation was the only side-effect of any importance observed; however, this did not result in any increased period of observation in the recovery room, and the majority of patients considered it advantageous. Droperidol is recommended as a prophylactic anti-emetic for selected groups of patients, given as 2.5 mg i.v. at the start of the anaesthesia.

摘要

在一项包括300名妇科患者的双盲研究中,麻醉开始时静脉注射氟哌利多进行预防性用药,使术后24小时内恶心和呕吐的发生率从34.4%显著降至10.3%(P=0.0001)。2.5毫克和5毫克氟哌利多的效果之间无显著差异(P=0.45)。观察到的唯一重要副作用是术后镇静作用增强;然而,这并未导致在恢复室的观察时间增加,且大多数患者认为这是有利的。推荐将氟哌利多作为特定患者群体的预防性止吐药,在麻醉开始时静脉注射2.5毫克。

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引用本文的文献

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Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis.成人全身麻醉后预防术后恶心呕吐的药物:网状Meta分析
Cochrane Database Syst Rev. 2020 Oct 19;10(10):CD012859. doi: 10.1002/14651858.CD012859.pub2.
2
Pharmacological Agents Affecting Emesis : A Review (Part II).影响呕吐的药物制剂:综述(第二部分)
Drugs. 1992 Apr;43(4):443-463. doi: 10.2165/00003495-199243040-00003.
3
The use of droperidol decreases postoperative nausea and vomiting after gynecological laparoscopy.
使用氟哌利多可减少妇科腹腔镜检查术后的恶心和呕吐。
J Anesth. 2007;21(4):507-9. doi: 10.1007/s00540-007-0550-x. Epub 2007 Nov 1.
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Drugs for preventing postoperative nausea and vomiting.预防术后恶心呕吐的药物。
Cochrane Database Syst Rev. 2006 Jul 19;2006(3):CD004125. doi: 10.1002/14651858.CD004125.pub2.
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Prevention and treatment of postoperative nausea and vomiting.术后恶心呕吐的防治
Drugs. 2000 Feb;59(2):213-43. doi: 10.2165/00003495-200059020-00005.
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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 J Anaesth. 1996 Nov;43(11):1100-7. doi: 10.1007/BF03011835.
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General anesthesia.全身麻醉。
Anesth Prog. 1991 Jul-Oct;38(4-5):172-86.