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术后不同镇痛方式对妇科患者恶心呕吐影响的观察

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摘要 目的:观察术后不同镇痛方式对妇科患者恶心呕吐(PONV)的影响。方法:将择期妇科手术患者180例随机分为静脉镇痛组、硬膜外镇痛组和肌内注射组各60例,观察比较术后0~6h、6~12h、12~24h、24~48h等不同时间段各组患者的疼痛评分及PONV发生率。结果:术后0~6h内PONV发生率最高;术后0~24h硬膜外镇痛组PONV发生率与肌内注射组(或)静脉镇痛组比较,差异显著(P<0.05)。术后0~24h硬膜外镇痛组频繁呕吐的发生率最高,静脉镇痛组次之,肌内注射组最低。术后0~24h,静脉镇痛组、硬膜外镇痛组和肌内注射组镇痛满意率分别为83.3%,85.0%及66.7%;术后24~48h镇痛满意率98.3%,100%和96.7%。结论:术后0~6h内PONV发生率最高,硬膜外给药PONV发生率最高。
出处 《人民军医》 2010年第7期498-499,共2页 People's Military Surgeon
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  • 1Odom FJ, Moser DK. Post discharge nausea and vomiting : A review of current literature[J]. Ambulat Surg,2005,12(2):99-105.
  • 2Apfel CC, Kranke P, Katz MH,et al. Volatile anesthetics may be the main cause of early but not delayed postoperative vomiting: A randomized controlled trial of factorial design[J]. Br J Anaesth, 2002,88 (9) :659-668.
  • 3Apfel CA2;, Roewer N. Risk assessment of postoperative nausea and vomiting[J]. Int Anesth Clin,2003,41(1) : 13-32.
  • 4Stadler M,Bardiau F,Seidel L, Difference in risk factors for postoperative nausea and vomiting[J]. Anesthesiology,2003,98(1):46-52.
  • 5White H,Black RJ,Jones M,etal. Randomized comparison of two antiemetic strategies in high-risk patients undergoing day-case gynaecological surgery[J]. Br J Anaesth, 2007,98: 470-476.
  • 6Apfel CC, Leara E, Koivuranta M, et al. A simplified risk score for predicting postoperative nausea and vomiting:Conclusions from cross- validation between two centers[J]. Anest hesiology, 1999 , 91 : 693-700.
  • 7Cooper DW, Saleh U, Taylor M, et al. Patient controlled analgesia: Epidural fentanyl and iv morphine compared after caesarean section [J]. Br J Anaesth,1999,82:366-370.
  • 8Krivskii LL, Molchanov IV, Alekseeva GV. Treatment of acute pain syndrome[J]. Anesteziol Reanimatol, 2002, (3) : 20.

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