摘要
目的:评价小剂量氟哌利多预防腹腔镜下胆囊切除手术后恶心呕吐(PONV)的效果。方法:90例ASAⅠ~Ⅱ级择期腹腔镜下胆囊切除患者,随机分成恩丹西酮4mg组(对照组),氟哌利多10μg/kg组(实验组),每组45例。观察术后24h内各组患者恶心呕吐的发生率情况。结果:氟哌利多组和恩丹西酮组术后24h内恶心发生率分别是26.7%和31.1%,呕吐发生率是20.0%和15.6%,差异无统计学意义(P>0.05)。24h内两组均未观察到焦虑、锥体外系反应、Q-T间期延长等副反应的发生。结论:小剂量氟哌利多预防PONV和恩丹西酮一样有效。
Objective: To investigate the preventive effect of small-dose Droperidol against postoperative nausea and vomiting (PONV) after laparoscopic cholecystetomy. Methods: Ninety ASA Ⅰ or Ⅱ patients were randomly divided into Ondansetron (4 mg, IV) group and Droperidol (10 txg/kg, Ⅳ) group, with 45 patients in each group. Nausea and vomiting were observed during 24 hours of post operation. Results: No significant differences were observed in the terms of incidence rate of postoperative nausea between Ondansetron group (26.7 %)and Droperidol group (31.1%), and so did postoperative nausea incidences(20.0%, 15.6%) (P〉0.05). No remarked adverse effects were observed within 24 hours of postoperatively. Conclusion: Intravenous Ondansetron (4 mg) or Droperidol (10 ug/kg) can prevent PONV with similar efficacy and safety.
出处
《中国医药导报》
CAS
2008年第32期33-34,共2页
China Medical Herald
关键词
氟哌利多
小剂量
腹腔镜手术
术后恶心呕吐
预防
Droperidol
Small-Dose
Laparoscopic operation
Post-operative nausea and vomiting
Prevent