摘要
背景术后恶心呕吐（postoperative nausea and vomiting，PONV）是麻醉手术后最常见的并发症之一，其发生率可高达30％。虽然国际上已公布了防治PONV共识和指南，但尚存在缺陷的PONV预测模型和复杂的防治策略成为临床防治PONV最大的障碍。目的探究在临床工作中防治PONV的主要障碍，为临床防治PONV工作提供更有效的途径。内容尚存在缺陷的PONV预测模型和复杂的防治策略是临床防治PONV最大的障碍，多模式防治PONV是一种简单、有效的预防PONV发生的方法。趋向多模式防治PONV更容易被临床麻醉医生接受和应用，新型的抗PONV药物和传统经典的抗呕吐药物为临床多模式防治提供了更大的选择空间。
Background Postoperative nausea and vomiting （PONV） is one of the most common complications following surgery under anesthesia, and the incidence is up to 30%. Preventing PONV have been published on the international consensus and guidelines, but flawed prediction model of PONV and complex control strategies is the greatest obstacle of clinical prevention of PONV. Objective This review summarized the major obstacle to controlling PONV in clinical practice, and provided a more effective way of preventing PONV. Content Flawed PONV prediction model and complex strategies of prevention and treatment are the major obstacle of clinical preventing PONV. Multimode controlling PONV is a simple, effective method of preventing PONV. Trend Multimode controlling PONV would be more acceptable and appliable for clinical anesthesiologists. New agents and traditional antiemetics provides more choices for clinical multimode controlling PONV.
出处
《国际麻醉学与复苏杂志》
CAS
2013年第8期715-719,共5页
International Journal of Anesthesiology and Resuscitation
关键词
术后恶心呕吐
危险因素
预测模型
抗呕吐药物
Postoperative nausea and vomiting
Risk factor
Prediction model
Antiemetics
