[1]刘俏俐,曹兴华.术后恶心呕吐的危险因素及防治措施[J].医学信息,2021,34(07):50-52.[doi:10.3969/j.issn.1006-1959.2021.07.014]
 LIU Qiao-li,CAO Xing-hua.Risk Factors and Prevention Measures of Postoperative Nausea and Vomiting[J].Medical Information,2021,34(07):50-52.[doi:10.3969/j.issn.1006-1959.2021.07.014]
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术后恶心呕吐的危险因素及防治措施()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年07期
页码:
50-52
栏目:
综述
出版日期:
2021-04-01

文章信息/Info

Title:
Risk Factors and Prevention Measures of Postoperative Nausea and Vomiting
文章编号:
1006-1959(2021)07-0050-03
作者:
刘俏俐曹兴华
(1.新疆医科大学第四临床医学院,新疆 乌鲁木齐 830011; 2.新疆医科大学附属中医医院手术麻醉科,新疆 乌鲁木齐 830000)
Author(s):
LIU Qiao-liCAO Xing-hua
(1.The Fourth Clinical Medical College of Xinjiang Medical University,Urumqi 830011,Xinjiang,China; 2.Department of Surgical Anesthesiology,Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University, Urumqi 830000,Xinjiang,China)
关键词:
术后恶心呕吐围术期危险因素穴位
Keywords:
Postoperative nausea and vomitingPerioperative periodRisk factorsAcupoints
分类号:
R614.1;R619
DOI:
10.3969/j.issn.1006-1959.2021.07.014
文献标志码:
A
摘要:
术后恶心呕吐(PONV)是围术期最常见的并发症之一,尽管外科医生和麻醉医生在围术期采取了干预措施,其发病率仍然居高不下。PONV不仅给患者带来痛苦,妨碍患者早期康复,而且延长病程,加重患者经济负担。导致PONV的因素有许多,相应的防治措施除了早期使用的药物治疗,近几年许多学者也对非药物治疗展开了研究。本文对 PONV 的危险因素和防治措施的研究进展进行综述,旨在为今后在围术期积极进行干预提供参考意见。
Abstract:
Postoperative nausea and vomiting (PONV) is one of the most common complications in the perioperative period. Although surgeons and anesthesiologists have taken interventions during the perioperative period, the incidence rate remains high.PONV not only brings suffering to patients and hinders their early recovery, but also prolongs the course of the disease and increases the economic burden of patients. There are many factors that cause PONV, and the corresponding prevention and treatment measures are in addition to early drug treatment.In recent years, many scholars have also launched research on non-drug treatments. This article reviews the research progress of PONV risk factors and prevention measures, and aims to provide reference for future interventions in the perioperative period.

参考文献/References:

[1]黄秋红,梁榕,刘云娟,等.新斯的明双侧足三里穴位注射联合芒硝外敷对妇科腹腔镜术后恶心呕吐的影响[J].蛇志,2019,31(4):506-508. [2]李硕,曾凡荣,张云霄,等.围手术期管理对胃癌病人术后恶心呕吐影响因素分析[J].中国实用外科杂志,2020,40(2):224-229. [3]张苓,刘明明,范隆,等.薄荷油对中老年患者术后恶心呕吐的影响分析[J].北京医学,2019,41(1):68-69. [4]王珊娜.生姜贴敷对无痛胃镜术后恶心呕吐高危患者的影响效果观察[J].临床合理用药杂志,2019,12(14):41-42. [5]郭晨跃,杨礼,徐亚军,等.耳穴磁疗联合止吐药多模式治疗甲状腺切除术患者术后恶心呕吐的疗效分析[J].中国临床医学,2018,25(4):596-600. [6]钟喜艳,周雄儿,江玉英.吴茱萸穴位贴敷治疗术后恶心呕吐的临床观察[J].当代医学,2019,25(5):58-59. [7]陈玉娟.乳腺术后恶心呕吐相关影响因素分析[J].中国实用医药,2015,10(36):181-182. [8]祝苏芳.全麻药品引发恶心呕吐影响因素分析[J].实用药物与临床,2015,18(11):1370-1372. [9]屈文慧,陈立阳,罗成江.腹腔镜胆囊切除手术后恶心呕吐的分级防治[J].宁夏医学杂志,2016,38(1):69-71. [10]鲁斌,杨一唯,王海明.双联抗呕吐方案在腹腔镜术后呕吐预防中的应用研究[J].全科医学临床与教育,2015,(1):37-39. [11]饶杰,彭镌宝.不同干预措施预防腹腔镜子宫肌瘤剔除术术后恶心呕吐的效果研究[J].微创医学,2018,13(4):439-441. [12]许际平,王琳,厉朋,等.不同程度晕动症对全麻患者术后恶心呕吐预防用药的影响[J].潍坊医学院学报,2019,41(4):266-269. [13]张世欣,杨代和,朱玉玲,等.地塞米松复合托烷司琼对乳腺术后呕吐的影响[J].福建医药杂志,2017,39(3):110-112. [14]郑钦树.对比双侧内关穴与静脉应用地塞米松对术后恶心呕吐防治的效果[J].海峡药学,2019,31(12):157-158. [15]纪秀波.经皮内关穴位电刺激对妇科宫腔镜手术后恶心呕吐的影响[J].吉林中医药,2018,38(6):720-722. [16]彭秀晴,董素婷,王书霞,等.无创穴位刺激防治术后恶心呕吐的临床观察[J].临床合理用药杂志,2011,4(9):67-68. [17]杜沂岚,陈淑媛,唐敏,等.穴位按压干预在混合痔患者围手术期的应用研究[J].成都医学院学报,2020,15(4):461-463. [18]张爱萍,唐桂萍.穴位敷贴减轻妇科腹腔镜术后恶心呕吐的效果[J].内蒙古中医药,2017,36(18):94. [19]中国中西医结合学会麻醉专业委员会.穴位刺激防治术后恶心呕吐专家指导意见[J].临床麻醉学杂志,2019,35(6):596-599. [20]刘晓捷,邹夏禹,李冬妹,等.氟哌利多穴位注射对妇科腹腔镜手术后恶心呕吐的影响[J].中国医院用药评价与分析,2015,(7):919-920. [21]高滟瑜,曾夏洋,万雅,等.耳穴治疗术后恶心呕吐及伴随症状随机对照试验的系统评价[J].浙江中医药大学学报,2017,41(1):90-96. [22]Darvall JN,Mcilroy E,Forbes M,et al.Patient willingness to try chewing gum to treat postoperative nausea and vomiting[J].Anaesthesia and Intensive Care,2019,47(3):390-310. [23]Cetinkaya F.The effects of listening to music on the postoperative nausea and vomiting[J].Complementary Therapies in Clinical Practice,2019(35):278-283. [24]曲立哲,严赟,王开强,等.术后恶心呕吐高危患者无痛肠镜检查中按压内关穴减轻恶心呕吐发生率的体会[J].黑龙江医学,2017,41(7):657-658. [25]王晓霞,高献明,刘娴.甲氧氯普胺穴位注射足三里治疗肛肠全麻术后恶心呕吐50例[J].中国民族民间医药,2017,26(21):100-101,104. [26]于艳宏,陈宁.电针刺激预防妇科腹腔镜术后恶心呕吐效果的观察[J].中国妇幼健康研究,2016,27(8):1015-1017.

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更新日期/Last Update: 1900-01-01