中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2008年
24期
23-24
,共2页
昂丹司琼%术后恶心呕吐%腹腔镜胆囊切除术
昂丹司瓊%術後噁心嘔吐%腹腔鏡膽囊切除術
앙단사경%술후악심구토%복강경담낭절제술
Ondansetron%Postoperative nausea and vomiting%Laparoscopic cholecystectomy
目的 研究术中静脉注射昂丹司琼对腹腔镜胆囊切除术患者术后恶心呕吐(PONV)的影响及护理.方法 择期行全麻腹腔镜胆囊切除术患者90例,将患者随机分为3组各30例:小剂量昂丹司琼组(O1组),切皮前静脉注射4 mg昂丹司琼;大剂量昂丹司琼组(O2组),切皮前静脉注射8 mg昂丹司琼;对照组(C组),切皮前静脉注射生理盐水.所有注射液体均稀释为4 ml.观察术后24 h发生恶心呕吐的例数及程度.结果 与C组比较,O1组与O2组发生PONV的例数减少且程度减轻,P＜0.05;O1组与O2组之间比较差异无统计学意义,P＞0.05.结论 术中静脉注射昂丹司琼可以减少腹腔镜胆囊切除术后患者的恶心呕吐.
目的 研究術中靜脈註射昂丹司瓊對腹腔鏡膽囊切除術患者術後噁心嘔吐(PONV)的影響及護理.方法 擇期行全痳腹腔鏡膽囊切除術患者90例,將患者隨機分為3組各30例:小劑量昂丹司瓊組(O1組),切皮前靜脈註射4 mg昂丹司瓊;大劑量昂丹司瓊組(O2組),切皮前靜脈註射8 mg昂丹司瓊;對照組(C組),切皮前靜脈註射生理鹽水.所有註射液體均稀釋為4 ml.觀察術後24 h髮生噁心嘔吐的例數及程度.結果 與C組比較,O1組與O2組髮生PONV的例數減少且程度減輕,P＜0.05;O1組與O2組之間比較差異無統計學意義,P＞0.05.結論 術中靜脈註射昂丹司瓊可以減少腹腔鏡膽囊切除術後患者的噁心嘔吐.
목적 연구술중정맥주사앙단사경대복강경담낭절제술환자술후악심구토(PONV)적영향급호리.방법 택기행전마복강경담낭절제술환자90례,장환자수궤분위3조각30례:소제량앙단사경조(O1조),절피전정맥주사4 mg앙단사경;대제량앙단사경조(O2조),절피전정맥주사8 mg앙단사경;대조조(C조),절피전정맥주사생리염수.소유주사액체균희석위4 ml.관찰술후24 h발생악심구토적례수급정도.결과 여C조비교,O1조여O2조발생PONV적례수감소차정도감경,P＜0.05;O1조여O2조지간비교차이무통계학의의,P＞0.05.결론 술중정맥주사앙단사경가이감소복강경담낭절제술후환자적악심구토.
Objective To investigate the influence of Ondansetron on postoperative nausea and vomiting(PONV)in patient undergoing laparoscopic cholecystectomy with general anesthesia and the nursins care. Methods Ninety patients undergoing laparoscopic cholecystectomy with general anesthesia were randomly divided into 3 groups(n=30):low-dose Ondansetron group(O1 group)received 4 mg Ondansetron before section,high-dose Ondansetron group(O2 group)received 8 mg Ondansetron before section and the control group(C group)received normal saline.All injections were diluted to 4 ml.The number and degree of nausea and vomiting wag recorded during 24 h after operation.Results Number of patients with PONV in O1 group and O2 group were less than that of C group,P＜0.05,so was the PONV degree.No statistical difference was seen between O1 group and O2 group.Conclusion Intravenous injection of Ondansetron during operation can decrease the PONV in patient undergoing laparoscopic cholecystectomy with general anesthesia.
