成人术后恶心呕吐的防治进展  

Progress in Prevention and Treatment of Postoperative Nausea and Vomiting in Adults

作　　者：张莉[1] 张咪[1] 张咸伟[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院麻醉科,湖北武汉

出　　处：《临床医学进展》2019年第4期456-463,共8页Advances in Clinical Medicine

摘　　要：术后恶心呕吐是手术后常见的并发症,也是影响患者术后恢复的重要因素之一。术后恶心呕吐的防治主要分为药物治疗和非药物治疗。由于尚未出现可以完全防治术后恶心呕吐的单一有效手段,因此需要通过联合各种药物及非药物的治疗方法,来改善术后恶心呕吐及减少不良反应,即多模式镇吐。文中新一代抗恶心呕吐药物的出现、防治术后恶心呕吐辅助用药和非药物疗法的更新,为多模式镇吐和加速康复外科提供了更多的选择,优化了治疗效果,减少了相关的不良反应。Postoperative nausea and vomiting is a common complication and an important factor affecting the recovery of patients after operation.The prevention and treatment of postoperative nausea and vomiting is mainly divided into drug treatment and non-drug treatment.Since there is no single effective method to prevent and cure post-operative nausea and vomiting,it is necessary to use multimodal antiemetic which combines various drug and non-drug therapies to optimize the treatment effect and reduce the related adverse reactions.The emergence of a new generation of anti-nausea and vomiting drugs,the updating of adjuvant drugs and non-drug therapies provide more choices for multimodal antiemetic and enhanced recovery after surgery.

关 键 词：术后恶心呕吐 防治 多模式镇吐 

分 类 号：R6[医药卫生—外科学]