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腹腔镜胆囊切除术后恶心呕吐的原因和预防

The Investigation of the Prophylactic Effect of Tropisetron on Postoperative Vom lting after Laparoscopic Cholecystectomy

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【作者】 陈珂; 德力格尔图; 高小平;

【Author】 CHEN Ke;DE LI GE ER TU;GAO Xiao-ping;Department of General Surgery,People’s Hospital of Inner Mongolia Autonomous Region;

【机构】 内蒙古自治区人民医院普外科;

【摘要】 目的:观察托烷司琼预防腹腔镜胆囊切除手术(LC)恶心呕吐(PONV)方案的临床疗效。方法:选择60例ASAⅠ~Ⅱ级择期行腹腔镜胆囊切除手术的患者随机均分为2组,在麻醉诱导前10 min分别静脉注射托烷司琼5 mg(A组,n=30)、生理盐水10 ml(对照组,B组,n=30)。结果:在术后0~24 h恶心呕吐发生率A组明显低于B组(P<0.05)。结论:托烷司琼可有效预防腹腔镜胆囊切除术后恶心呕吐发生率。

【Abstract】 Objective:To compare the efficacies of Tropisetr on in preventing postoperative nausea and vomiting of laparoscopic cholecystectomy surgery.Methods:60 patients,ASA class Ⅰ ~Ⅱ,undergoing laparoscopic cholecystectomy surgery,were randomly divided into2 groups,receiving an intravenous bolus of Tropisetron 5mg(group A,n =30),and 0.9%NS 10 ml(group placebo,group B,n = 30) respectively 10 min before anesthesia.Results:The incidences of postoperative nausea and vomiting in group A were significantly lower than that in group NS(P< 0.05) in postoperative 0~24 hours.Conclusion:Tropisetron can prevent postoperative nausea and vomiting of laparoscopic cholecystectomy surgery effectively.

  • 【文献出处】 内蒙古医学杂志 ,Inner Mongolia Medical Journal , 编辑部邮箱 ,2010年S5期
  • 【分类号】R657.4
  • 【被引频次】1
  • 【下载频次】21
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