格拉斯琼与地塞米松预防妇科手术后恶心呕吐的临床疗效观察  

ClinicalobservationonthecurativeeffectofGlassJoananddexamethasone in prevention of nausea and vomiting after gynecologic surgery

作　　者：孙昆玲 

机构地区：[1]江苏省海门市第四人民医院麻醉科,江苏海门226141

出　　处：《中国医药科学》2013年第13期101-102,139,共3页China Medicine And Pharmacy

摘　　要：目的探讨应用格拉斯琼与地塞米松预防妇科手术后恶心呕吐的临床疗效。方法选取我院妇产科手术患者100例进行观察,将其随机分为预防治疗组和对症治疗组,两组各50例。观察对比两组患者术后恶心呕吐缓解评分及PONV(postoperative nausea and vomitiing)发生率。结果两组患者在术后24h统计结果无明显差异,差异无统计学意义(P>0.05)。但两组患者恶心呕吐发生情况在术后1h、4h及8h的统计结果差异有统计学意义(P<0.05)。并且预防治疗组患者的PONV发生率在2%,远远低于对症治疗组的26%。结论预防性应用格拉斯琼与地塞米松能有效预防妇科手术后恶心呕吐,并能有效减少患者术后PONV的发生率,增加患者术后舒适程度,值得推广应用。Objective To discuss the clinical curative effect of Glass Joan and dexamethasone in prevention of nausea and vomiting after gynecologic surgery. Methods 100 patients of Obstetrics and gynecology operation were Selected and randomly divided into preventive treatment group and treatment group. There were 50 cases in each group. The relief score of nausea and vomitting and incidence of PONV were observed and compared after the operation. Results The statistical result of 24h was no significant differences between two groups（/} 〉 0.05）.There were significant differences in lh ,4h and 8h after the operation between two groups（/} 〈 0.05）.The incidence of PONV in preventive treatment group （2%） was far less than the treatment group （26%）. Conclusion Preventive application of Glass Joan and dexamethasone can effectively prevent nausea and vomiting after gynecologic operation, and can effectively reduce the incidence of PONV, improve the postoperative comfort. It is worthy of popularization and application.

关 键 词：格拉斯琼 地塞米松 预防性应用 妇科手术 恶心呕吐 

分 类 号：R614[医药卫生—麻醉学]