| 联合用药预防自控镇痛患者恶心呕吐的临床研究 |
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| 引用本文： | 王爱桃,任志坚,温树正.联合用药预防自控镇痛患者恶心呕吐的临床研究[J].内蒙古医学杂志,2012,44(10):1177-1179. |
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| 作者姓名： | 王爱桃 任志坚 温树正 |
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| 作者单位： | 1. 内蒙古自治区人民医院麻醉科,内蒙古呼和浩特,010017
2. 内蒙古医学院第二附属医院骨科,内蒙古呼和浩特,010030 |
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| 摘 要： | 目的:探讨地塞米松与氟派利多或昂丹司琼联合应用对术后自控镇痛患者恶心呕吐的影响。方法:160例全麻术后行自控镇痛(patient controlled analgesia,PCA)的女性患者随机分为4组,组1:单纯舒芬太尼;组2:舒芬太尼+地塞米松;组3:舒芬太尼+地塞米松+氟哌利多;组4:舒芬太尼+地塞米松+昂丹司琼。记录患者术后恶心呕吐(post operative nausea and vomiting,PONV)的发生,疼痛及镇静评分,PCA持续时间,并观察术后不良事件。结果:恶心呕吐发生程度均为组1>组2>组3>组4,其中组1的恶心呕吐程度较组2、组3、组4的高,且差异显著(P<0.05),组2的恶心呕吐程度较组3、组4的高,且差异显著(P<0.05)。4组患者疼痛及镇静评分差异无统计学意义。结论:地塞米松与氟哌利多或昂丹司琼联合应用可以显著减少术后自控镇痛患者恶心呕吐的发生。
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| 关 键 词： | 自控镇痛 恶心呕吐 地塞米松 昂丹司琼 氟哌利多 |
Clinical Studies of Combinations of Antiemetics on Prevention Nausea and Vomiting During Postoperative Patient Controlled Analgesia |
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| WANG Ai-tao
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REN Zhi-jian
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WEN Shu-zheng.Clinical Studies of Combinations of Antiemetics on Prevention Nausea and Vomiting During Postoperative Patient Controlled Analgesia[J].Inner Mongolia Medical Journal,2012,44(10):1177-1179. |
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| Authors: | WANG Ai-tao REN Zhi-jian WEN Shu-zheng |
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| Institution: | 1.Department of Anesthesia,Inner Mongolia Autonomous Region People’s Hospital,Huhhot 010017 China.2.Department of Orthopedics,The Sencond Affiliated Hospital of Inner Mongolia Medical College,Huhhot O10030 China) |
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