CAJ | 학술논문

目的：探讨全麻下妇科腹腔镜手术后恶心呕吐的发生原因及应对措施，以降低恶心呕吐的发生率及恶心呕吐的程度。方法将2014年1月至2014年5月在我科进行腹腔镜手术的病人300人，随机分为实验组和对照组，实验组150人，术前术后均采取护理干预，有恶心感时遵医嘱给予止吐剂，对照组150人，仅在出现恶心症状时遵医嘱给予止吐剂，比较两组恶心呕吐的发生率及恶心呕吐的程度，使用止吐剂的效果比较。结果实验组呕吐的发生率低于对照组，恶心呕吐的严重程度实验组较对照组轻，恶心时使用止吐剂的效果实验组也优于对照组，经统计学处理P＜0.05，有统计学意义。结论妇科腹腔镜手术前后给予充分的护理干预能降低术后呕吐的发生率及恶心呕吐的程度，并能增强止吐剂的止吐效果。
목적：탐토전마하부과복강경수술후악심구토적발생원인급응대조시，이강저악심구토적발생솔급악심구토적정도。방법장2014년1월지2014년5월재아과진행복강경수술적병인300인，수궤분위실험조화대조조，실험조150인，술전술후균채취호리간예，유악심감시준의촉급여지토제，대조조150인，부재출현악심증상시준의촉급여지토제，비교량조악심구토적발생솔급악심구토적정도，사용지토제적효과비교。결과실험조구토적발생솔저우대조조，악심구토적엄중정도실험조교대조조경，악심시사용지토제적효과실험조야우우대조조，경통계학처리P＜0.05，유통계학의의。결론부과복강경수술전후급여충분적호리간예능강저술후구토적발생솔급악심구토적정도，병능증강지토제적지토효과。
Objective To explore the causes and Countermeasures of nausea and vomiting after laparoscopic gynecologic operation under general anesthesia, in order to reduce the incidence of nausea and vomiting and nausea and vomiting degree. Methods 2014 January to 2014 May the laparoscopic operation in our department 300 patients, were randomly divided into experimental group and control group, 150 in experimental group, the preoperative and postoperative nursing intervention was adopted, there is a sense of nausea when the doctor give stop drugs, 150 in the control group, only in nausea symptoms when the doctor's advice to give stop the drugs were compared between the two groups, the incidence of nausea and vomiting and nausea and vomiting degree, compare the use of antiemetic effect. Results The experimental group vomiting rate lower than that of the control group, the severity of nausea and vomiting in the experimental group compared with the control group, the experimental group light, effect of nausea when using antiemetics is better than that of the control group, statistical y P < 0.05, there was statistical significance. Conclusion Before and after gynecological laparoscopic operation given nursing intervention ful y can reduce the incidence of postoperative vomiting and nausea and vomiting degree, and can enhance the antiemetic antiemetic effect.