In this editorial,we reviewed the article by Li et al.We aimed to explore various perspectives to further mitigate the risk factors for postoperative nausea and vomiting(PONV),which could significantly reduce its inci...In this editorial,we reviewed the article by Li et al.We aimed to explore various perspectives to further mitigate the risk factors for postoperative nausea and vomiting(PONV),which could significantly reduce its incidence and related post-operative complications.PONV is highly prevalent among patients undergoing bariatric surgery,yet there are relatively few related studies.Currently,the main-stream bariatric surgery methods include laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.Despite the effectiveness of surgery in helping patients lose weight,postoperative PONV may occur,potentially leading to various complications(such as aspiration and wound dehiscence).A retro-spective study by Li et al has compared the impact of different operative positions during laparoscopic sleeve gastroplasty on the incidence of PONV,providing new insights into the clinical practice aimed at reducing PONV incidence and thereby improving patient’s postoperative experience.展开更多
目的：观察全膝关节置换术后患肢不同体外对术后出血的影响，为临床诊疗提供依据。方法选取全膝关节置换术患者270例，采用数字表法将患者随机分为Ⅰ组、Ⅱ组和Ⅲ组，每组90例。Ⅰ组患者患肢髋关节和膝关节均伸直；Ⅱ组髋关节抬高45...目的：观察全膝关节置换术后患肢不同体外对术后出血的影响，为临床诊疗提供依据。方法选取全膝关节置换术患者270例，采用数字表法将患者随机分为Ⅰ组、Ⅱ组和Ⅲ组，每组90例。Ⅰ组患者患肢髋关节和膝关节均伸直；Ⅱ组髋关节抬高45°，膝关节屈曲70°；Ⅲ组髋关节抬高45°，膝关节伸直。术后均干预12 h，均放置引流袋24 h。比较三组引流量、手术前后血红蛋白及术后5 d 膝关节活动度。结果术后Ⅰ组引流量为（433．4±25．3）mL，显著多于Ⅱ组和Ⅲ组的（402．6±19．6）mL 和（403．5±21．5）mL，差异均有统计学意义（t ＝5．253、5．301，均 P ＜0．05），Ⅱ组和Ⅲ组引流量差异无统计学意义（P ＞0．05）；术后三组血红蛋白分别为（92．3±4．2）g／L、（114．9±6．4）g／L 和（113．2±7．5）g／L，均明显降低，与术前比较差异均有统计学意义（t ＝5.083、6．034、7．893，均 P ＜0．05）；术后Ⅰ组血红蛋白显著低于Ⅱ组和Ⅲ组（t ＝6．423、7．043，均P ＜0．05），Ⅱ组和Ⅲ组血红蛋白比较差异无统计学意义（P ＞0．05）；术后5 d 三组膝关节活动度比较差异无统计学意义（P ＞0．05）。结论髋关节屈曲能有效减少全膝关节置换术后出血，膝关节屈曲与伸直对术后出血无明显影响。展开更多
文摘In this editorial,we reviewed the article by Li et al.We aimed to explore various perspectives to further mitigate the risk factors for postoperative nausea and vomiting(PONV),which could significantly reduce its incidence and related post-operative complications.PONV is highly prevalent among patients undergoing bariatric surgery,yet there are relatively few related studies.Currently,the main-stream bariatric surgery methods include laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy.Despite the effectiveness of surgery in helping patients lose weight,postoperative PONV may occur,potentially leading to various complications(such as aspiration and wound dehiscence).A retro-spective study by Li et al has compared the impact of different operative positions during laparoscopic sleeve gastroplasty on the incidence of PONV,providing new insights into the clinical practice aimed at reducing PONV incidence and thereby improving patient’s postoperative experience.
文摘目的：观察全膝关节置换术后患肢不同体外对术后出血的影响，为临床诊疗提供依据。方法选取全膝关节置换术患者270例，采用数字表法将患者随机分为Ⅰ组、Ⅱ组和Ⅲ组，每组90例。Ⅰ组患者患肢髋关节和膝关节均伸直；Ⅱ组髋关节抬高45°，膝关节屈曲70°；Ⅲ组髋关节抬高45°，膝关节伸直。术后均干预12 h，均放置引流袋24 h。比较三组引流量、手术前后血红蛋白及术后5 d 膝关节活动度。结果术后Ⅰ组引流量为（433．4±25．3）mL，显著多于Ⅱ组和Ⅲ组的（402．6±19．6）mL 和（403．5±21．5）mL，差异均有统计学意义（t ＝5．253、5．301，均 P ＜0．05），Ⅱ组和Ⅲ组引流量差异无统计学意义（P ＞0．05）；术后三组血红蛋白分别为（92．3±4．2）g／L、（114．9±6．4）g／L 和（113．2±7．5）g／L，均明显降低，与术前比较差异均有统计学意义（t ＝5.083、6．034、7．893，均 P ＜0．05）；术后Ⅰ组血红蛋白显著低于Ⅱ组和Ⅲ组（t ＝6．423、7．043，均P ＜0．05），Ⅱ组和Ⅲ组血红蛋白比较差异无统计学意义（P ＞0．05）；术后5 d 三组膝关节活动度比较差异无统计学意义（P ＞0．05）。结论髋关节屈曲能有效减少全膝关节置换术后出血，膝关节屈曲与伸直对术后出血无明显影响。
