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戊乙奎醚预防腹腔镜胆囊切除术后恶心呕吐的效果
引用本文:张治明,欧阳帆,刘琦,李松林. 戊乙奎醚预防腹腔镜胆囊切除术后恶心呕吐的效果[J]. 海南医学, 2010, 21(6): 33-34
作者姓名:张治明  欧阳帆  刘琦  李松林
作者单位:郴州市第一人民医院,湖南,郴州,423000;郴州市第一人民医院,湖南,郴州,423000;郴州市第一人民医院,湖南,郴州,423000;郴州市第一人民医院,湖南,郴州,423000
基金项目:郴州市第一人民医院资助科研项目(编号:2009-012)
摘    要:目的观察戊乙奎醚预防腹腔镜胆囊摘除术后恶心呕吐的效果。方法将60例ASAⅠ—Ⅱ年龄25—53岁计划在全身麻醉下进行腹腔镜手术的病人随机分为两组:P组在麻醉前使用戊乙奎醚0.02mg/kg肌肉注射,C组使用相当容量的生理盐水肌肉注射。记录术后的6h(T1),12h(T2),24h(L),48h(T4)病人恶心呕吐的VSS评分,并对各个时段出现呕吐症状的病例计数。结果在T1-2P组术后恶心呕吐的VSS评分明显低于c组(P〈0.05),而T1-4差异没有统计学意义;两组均有呕吐的病例发生,C组主要集中在前12h,P组则在12h后有部分病例出现;P组总数明显低于C组(P〈0.05)。结论麻醉前使用戊乙奎醚能预防腹腔镜胆囊切除术后恶心呕吐,前12h效果明显。

关 键 词:腹腔镜胆囊切除术  并发症  恶心呕吐  戊乙奎醚

Effect of penehyclidine hydrochloride in the prevention of nausea and vomitting after laparoscopic cholecystectomy
ZHANG Zhi-ming,OUYANG Fan,LIU Qi,et al. Effect of penehyclidine hydrochloride in the prevention of nausea and vomitting after laparoscopic cholecystectomy[J]. Hainan Medical Journal, 2010, 21(6): 33-34
Authors:ZHANG Zhi-ming  OUYANG Fan  LIU Qi  et al
Affiliation:ZHANG Zhi-ming,OUYANG Fan,LIU Qi,et al,Department of Anesthesiology,the Frist People's Hospital of Chenzhou City,Chenzhou 423000,Hunan,CHINA
Abstract:Objective To observe the effect of peneyclidine hydrochloride in the prevention of post operation nausea and vomitting(PONV)of laparoscopic cholecystectomy(LC).Methods Sixty patients scheduled for laparoscope cholecystectomy undergoing general anesthesia were allocated to two group:Patients were injected with panehyclidine hydrochloric at the dosage of 0.02 mg/kg before anesthesia induction(Group P);and others with 0.9% sodium chloride(Group C).Visual simulation scale(VSS)were used to assess PONV,and VSS we...
Keywords:LC  Complication  PONV  Penhyclidine  
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