瑞芬太尼与沙菲在腹腔镜胆囊切除术患者呕吐防治中的作用 |
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引用本文: | 李继周,李志周,艾伟,边步荣,任伟荣,刘波.瑞芬太尼与沙菲在腹腔镜胆囊切除术患者呕吐防治中的作用[J].现代医药卫生,2009,25(15):2266-2267. |
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作者姓名: | 李继周 李志周 艾伟 边步荣 任伟荣 刘波 |
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作者单位: | 榆林市第一医院,陕西,榆林,719000 |
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摘 要: | 目的:探讨瑞芬太尼术中、沙菲术后镇痛在腹腔镜胆囊切除术(LC)患者,用氟哌利多、地塞米松预防术后恶心呕吐(PONV)中的作用。方法:收集非吸烟、中青年女性LC患者,即PPONV的高危人群。全组氟哌利多、地塞米松预防性给药。Ⅰ组术中瑞芬太尼镇痛,术后沙菲镇痛;Ⅱ组术中、术后都用芬太尼镇痛。结果:两组异氟醚吸入,24hPONV的VAS评分(3.6±1.0)分与(6.4±1.2)分;麻醉满意度评分(8.8±1.1)分与(6.8+1.3)分。差异均有显著性(P〈0.01)。结论:在LC恶心呕吐的高危人群,采用氟哌利多、地塞米松预防PONV时,瑞芬太尼、沙菲术中、术后镇痛较芬太尼术中术后镇痛,在预防PONV中更具有优势。
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关 键 词: | 瑞芬太尼 沙菲 腹腔镜胆囊切除术 术后呕吐 防治 |
Effect of remifentanil and shafei on preventing and curing vomiting in patients with iaparoscopic cholecystectomy |
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Institution: | LI Ji-zhou ,LI Zhi-zhou ,AI Wei ,et al. (Yulin Municipal First Hospital , Yulin ,Shaanxi 719000,China) |
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Abstract: | Objective:To study the effect of remifentanil and shafei on preventing and curing vomiting in patients with lapamscopic cholecystectomy.Methods:The non-smoking, middle-aged female patients undergoing laparoscopic cholecystectomy (LC) with high risk of postoperative nausea and vomiting (PONV) were collected. All the patients were preventively given droperidol and dexamethasone.Group Ⅰ received remifentanil for operative analgesia and shafei for postoperative analgesia. Group Ⅱ received remifentanil for operative and postoperative analgesia. Results:The VAS score for PONV after 24h of isoflurane inhalation was 3.6±1.0 and 6.4±1.2 in the two groups respectively,the score of anesthesia satisfaction was 8.8±1.1 and 6.8±1.3 respectively in the two groups.Both differences had statistical significance (P〈0.01). Conclusion:In the LC patients with high risk of PONV and preventing PONV by droperidal and dexamethasone, remifentanil and shafei for operative and postoperative analgesia are superior to fentanyl for preventing PONV. |
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Keywords: | Remifentsnil Shafei Laparoscopic cholecystectomy(LC) Postoperative nausea and vomiting(PONV) Prevention and treatment |
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