摘要
目的 观察小剂量氟哌利多预防全麻腹腔镜胆囊切除术后恶心呕吐的临床效果。方法 选择 5 0例ASAⅠ～Ⅱ级在全麻下行腹腔镜胆囊切除术病人。随机将病人分为预防组 (D组 )和对照组 (C组 ) ,每组各 2 5例。麻醉诱导前 5minD组静脉推注氟哌利多⒈ 2 5mg。麻醉诱导及维持两组相同。所有病人气管插管后均常规置入胃管。观察 2 4h恶心呕吐发生率、镇静情况及不良反应。结果 D组术后恶心呕吐发生率为 16 % ,C组为 72 % ,两组比较差异有显著统计学意义。镇静评分两组间无显著性差异 ,D组未见不良反应。结论 腹腔镜胆囊切除术麻醉诱导前 5min静注小剂量氟哌利多能有效减少术后恶心呕吐的发生率。
Objective To observe the efficacy of droperidol i n preventing postoperative nausea and vomiting after laparoscopic cholecystectomy. Methods Fifty patients undergoing laparoscopic cholecystectomy were randomly divided into two groups:droperidol group D(n=25)and control group C(n=25).The patients in group D were intravescularly administered with 1.25 mg droperidol 5 minutes before anesthesia was induced, while the patients in gro up C were not.Nausea,vomiting,sedation of patiens were observed in the following 24 hours.Results The incidence of postoperative nausea and vomitin g was 16% in group D,72% in group C.There was a great significance between them and was no significant difference of sedation score between group D and C. Conclusion Preventive administration of droperidol can effictively preven t postoperative nausea and vomiting.
出处
《江西医学院学报》
2004年第6期56-57,61,共3页
Acta Academiae Medicinae Jiangxi
关键词
胆囊切除术
腹腔镜
并发症
恶心
呕吐
预防
氟哌利多
laparoscopic cholecystectomy
complication
postoperati ve
nausea and vomiting
prevention
droperidol
