摘要
术后恶心呕吐(postoperative nausea and vomiting,PONV)是指手术术后24h内发生的恶心呕吐.PONV严重影响无痛消化道内镜术后恢复质量,本文针对无痛消化道内镜PONV研究进展予以综述,为提升无痛舒适麻醉医疗安全和服务质量提供临床指导依据.无痛消化道内镜PONV有独特的影响因素和特点,应在坚持全面评估的基础上,根据患者具体情况,明确高危因素,优化麻醉方案,积极采取合理选择麻醉药和镇痛药等手段,采取综合性的PONV诊疗措施.
Postoperative nausea and vomiting(PONV)refers to nausea and vomiting occurring within 24 h after surgery.PONV seriously affects the quality of postoperative recovery after painless gastrointestinal endoscopy.In this paper,we review the progress in the research of PONV after painless gastrointestinal endoscopy to provide clinical guidance for improving the medical safety and service quality of painless and comfortable anesthesia.PONV after painless gastrointestinal endoscopy has unique factors and characteristics.On the basis of comprehensive evaluation and according to the patient’s specific situation,the doctors should identify the risk factors,optimize the anesthesia scheme,choose anesthetics and analgesics rationally,and take comprehensive diagnostic and therapeutic measures.
作者
吴丹
刘昕
Dan Wu;Xin Liu(Clinical College of Medicine of Yangzhou University,Yangzhou 225001,Jiangsu Province,China;Department of Anesthesiology,Northern Jiangsu People′s Hospital,Yangzhou Clinical College of Xuzhou Medical University,Yangzhou 225001,Jiangsu Province,China)
出处
《世界华人消化杂志》
CAS
2021年第17期1014-1019,共6页
World Chinese Journal of Digestology
基金
徐州医科大学一流专业建设专项课题,No.Xjyylzx201901。
关键词
无痛消化道内镜
术后恶心呕吐
影响因素
防治策略
Painless gastrointestinal endoscopy
Postoperative nausea and vomiting
Influencing factors
Prevention and control strategy
