基础医学与临床 ›› 2014, Vol. 34 ›› Issue (4): 519-522.

• 研究论文 • 上一篇    下一篇

女性术后吗啡静脉镇痛泵中加入昂丹司琼不能减少术后恶心呕吐

裴丽坚1,桑诺尔1,高鲜丽2,夏伟鹏3,任丽英1,李虹4,张秀华1,黄宇光5   

  1. 1. 北京协和医院
    2. 深圳市卫生局
    3. 中国医学科学院整形外科医院
    4. 中国医学科学院 北京协和医院 麻醉科
    5. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科
  • 收稿日期:2013-12-12 修回日期:2014-01-07 出版日期:2014-04-05 发布日期:2014-03-31
  • 通讯作者: 桑诺尔 E-mail:sangnuoerpumch@126.com

Ondansetron added to intravenous morphine analgesia pump could not reduce postoperative nausea and vomiting in female patients

  • Received:2013-12-12 Revised:2014-01-07 Online:2014-04-05 Published:2014-03-31

摘要: 目的 评价术后吗啡静脉镇痛泵中加入昂丹司琼预防术后恶心呕吐的有效性。方法 对2012-01-01-2012-06-30北京协和医院女性全麻+术后吗啡静脉镇痛患者进行单因素回顾性分析。结果 578例女性患者纳入最终分析,其中术后吗啡静脉镇痛泵中未加入昂丹司琼55例,加入昂丹司琼523例(昂丹司琼0.2mg~0.5mg/h,持续泵入48h)。两组间术后静息疼痛视觉模拟评分(VAS)最大值、活动后疼痛视觉模拟评分最大值以及术后镇静评分均无差异。术后恶心评分最大值以及术后48h内累计呕吐次数无差异。结论 女性术后吗啡静脉镇痛泵中加入昂丹司琼并不能减少术后恶心呕吐的发生。

关键词: 术后恶心呕吐(post operative nausea and vomiting, PONV), 昂丹司琼(ondansetron), 术后静脉镇痛(intravenous patient control analgesia), 视觉模拟评分(visual analogue scale,VAS)

Abstract: Objective To evaluate whether ondansetron added to intravenous patient analgesia solution with morphine will reduce postoperative nausea and vomiting. Methods Data of surgical female inpatients in PUMCH from January 1st to June 30th, 2012 who performed general anesthesia and intravenous analgesia solution with morphine postoperatively were analyzed. Results Data from 578 cases were analyzed. Cases of no adding ondansetron to intravenous analgesia solution were 55, compared to adding ondansetron group were 523 (ondansetron 0.2mg~0.5mg/h for 48 hours). The maximum VAS score of postoperative pain at rest, the maximum VAS score of postoperative pain during movement and postoperative sedation scores were no significantly different. The maximum score of postoperative nausea, and cumulated frequency of postoperative vomiting during first 48 hours were no significantly different. Conclusion Ondansetron added to intravenous patient-control analgesia solution with morphine could not reduce postoperative nausea and vomiting in female patients.

Key words: PONV (post operative nausea and vomiting), ondensetron, intravenous patient control analgesia, VAS(visual analogue scale)score

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