影响减重手术患者术后恶心呕吐的相关因素及防治的进展  

Related factors affecting postoperative nausea and vomiting in patients undergoing bariatric surgery and research progress on prevention and treatment

作　　者：吴庆梓 马正良[1,2] Wu Qingzi;Ma Zhengliang(Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University,Nanjing 210008,China;Department of Anesthesiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京医科大学鼓楼临床医学院,南京210008 [2]南京大学医学院附属鼓楼医院麻醉科,南京210008

出　　处：《国际麻醉学与复苏杂志》2024年第1期88-91,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：接受减重手术的肥胖患者比正常体重患者更可能经历术后恶心呕吐(PONV),减重外科人群中PONV对术后加速康复的影响逐渐受到关注。目前普通外科中有关于PONV的管理指南,但没有关于肥胖患者PONV预防治疗的既定指南。文章综述与减重手术患者PONV相关的因素,比较不同干预方法对减重患者PONV防治的效果,希望为减重患者PONV的防治提供一定的参考。Obese patients undergoing bariatric surgery are more likely to experience postoperative nausea and vomiting(PONV)than those in the normal weight range.The impact of PONV on postoperative accelerated recovery has attracted increasing at⁃tention among the bariatric surgery population.There are guidelines currently for the management of PONV in general surgery,but no established guidelines available for the prevention or treatment of PONV in obese patients.In this review,we summarizes the factors as⁃sociated with PONV among bariatric surgery patients and compares the effect of different intervention methods on the prevention and treatment of PONV,in order to provide reference for the prevention and treatment of this adverse reaction.

关 键 词：减重手术 术后恶心呕吐 腹腔镜袖状胃切除术 腹腔镜Roux⁃en⁃Y胃转流术手术 危险因素 

分 类 号：R656.61[医药卫生—外科学]