中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
z1期
8-10
,共3页
术后恶心呕吐强度评级%手术后恶心呕吐%腹腔镜检查
術後噁心嘔吐彊度評級%手術後噁心嘔吐%腹腔鏡檢查
술후악심구토강도평급%수술후악심구토%복강경검사
PONV intensity scale%Postoperative nausea and vomiting%Laparoscopy
目的：探讨PONV intensity scale在国人腹腔镜术后评估恶心呕吐的效果及实用性。方法选择ASA I～II级、Apfel评分≥2分腹腔镜手术患者90例。术后分别记录6、24 h PONV intensity scale评分及PONV VAS评分；术后恶心呕吐解救药的使用情况；术后24 h QOR评分；对PONV intensity scale评分≥50分的患者，在术后36 h对这部分患者再次进行PONV intensity scale 评分及PONV VAS评分。结果 Apfel评分≥3分病例中临床意义PONV发生率为71．4％，对比Apfel评分＝2分病例发生率6％（ P＜0畅05）；PONV强度评分与PONV视觉模拟评分相关系数r＝0．946，P＜0．01；PONV intensity scale评分和QOR评分相关系数r＝－0．937，P＜0．01。24 h临床意义PONV与非临床意义PONV止呕药物治疗情况差异有统计学意义（ P＜0畅05）。发生临床意义PONV与非临床意义PONV呕吐发生率80％与18％（P＜0．05）。结论 PONV intensi-ty scale在国人腹腔镜手术PONV评估中能有效区分临床意义PONV与非临床意义PONV。对比国内外常用的PONV VAS评分法在术后36 h再测更稳定。发生临床意义PONV的患者其术后恢复质量较差，需要更多的止呕药物进行解救治疗。
目的：探討PONV intensity scale在國人腹腔鏡術後評估噁心嘔吐的效果及實用性。方法選擇ASA I～II級、Apfel評分≥2分腹腔鏡手術患者90例。術後分彆記錄6、24 h PONV intensity scale評分及PONV VAS評分；術後噁心嘔吐解救藥的使用情況；術後24 h QOR評分；對PONV intensity scale評分≥50分的患者，在術後36 h對這部分患者再次進行PONV intensity scale 評分及PONV VAS評分。結果 Apfel評分≥3分病例中臨床意義PONV髮生率為71．4％，對比Apfel評分＝2分病例髮生率6％（ P＜0暢05）；PONV彊度評分與PONV視覺模擬評分相關繫數r＝0．946，P＜0．01；PONV intensity scale評分和QOR評分相關繫數r＝－0．937，P＜0．01。24 h臨床意義PONV與非臨床意義PONV止嘔藥物治療情況差異有統計學意義（ P＜0暢05）。髮生臨床意義PONV與非臨床意義PONV嘔吐髮生率80％與18％（P＜0．05）。結論 PONV intensi-ty scale在國人腹腔鏡手術PONV評估中能有效區分臨床意義PONV與非臨床意義PONV。對比國內外常用的PONV VAS評分法在術後36 h再測更穩定。髮生臨床意義PONV的患者其術後恢複質量較差，需要更多的止嘔藥物進行解救治療。
목적：탐토PONV intensity scale재국인복강경술후평고악심구토적효과급실용성。방법선택ASA I～II급、Apfel평분≥2분복강경수술환자90례。술후분별기록6、24 h PONV intensity scale평분급PONV VAS평분；술후악심구토해구약적사용정황；술후24 h QOR평분；대PONV intensity scale평분≥50분적환자，재술후36 h대저부분환자재차진행PONV intensity scale 평분급PONV VAS평분。결과 Apfel평분≥3분병례중림상의의PONV발생솔위71．4％，대비Apfel평분＝2분병례발생솔6％（ P＜0창05）；PONV강도평분여PONV시각모의평분상관계수r＝0．946，P＜0．01；PONV intensity scale평분화QOR평분상관계수r＝－0．937，P＜0．01。24 h림상의의PONV여비림상의의PONV지구약물치료정황차이유통계학의의（ P＜0창05）。발생림상의의PONV여비림상의의PONV구토발생솔80％여18％（P＜0．05）。결론 PONV intensi-ty scale재국인복강경수술PONV평고중능유효구분림상의의PONV여비림상의의PONV。대비국내외상용적PONV VAS평분법재술후36 h재측경은정。발생림상의의PONV적환자기술후회복질량교차，수요경다적지구약물진행해구치료。
Objective To esplore the effecf and the practical utility of the postoperative nausea and vomiting intensity scale for Chinese patients with laparoscopic operation .Methods Ninety patients with ASA I-II,Apfel≥2 were enrolled .Interviews were carried out at 6 and 24 hours postoperatively .Measurements included the PONV Inten-sity Scale,nausea and pain visual analogue scale .Quality of Recovery Score and antiemetic were used .The patients whose PONV intensity score ≥50 were assessed by PONV intensity scale and PONV VAS .Results There was signif-icant difference of the occurrence of clinical PONV between the patients with Apfel ≥3 and those with Apfel=2(P<0.05).The PONV Intensity Scale had a stronger correlation with PONV VAS ,r=0.946(P<0.01).The PONV In-tensity Scale had a stronger correlation with QOR,r=-0.937(P<0.01).Patients with clinically important PONV at 24 hours required more antiemetic therapy (P=0.024).PONV rate of the patients with a clinically significant score VS those without a clinically significant score was 80%VS 18%(P<0.05).Conclusion PONV intensity scale can distinguish trivial from clinically important PONV availably in Chinese Laparoscopic operation .It is more reliable than PONV VAS.Patients with clinically important PONV required more antiemetic therapy .Clinically important PONV ,as determined by the PONV Intensity Scale ,was associated with a poor quality of recovery .
