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首页> 外文期刊>Sao Paulo Medical Journal >The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study
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The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study

机译：预防性再次化对腹腔镜子宫颈术后术后恶心和呕吐的影响：预期随机临床研究

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BACKGROUND: Postoperative nausea and vomiting (PONV) is a common complication from general anesthesia that impacts on postoperative recovery. OBJECTIVE: To evaluate prophylactic rewarming following general anesthesia, so as to decrease the incidence of PONV among patients undergoing laparoscopic hysterectomy. DESIGN AND SETTING: Prospective randomized clinical study at a hospital in China. METHODS: Sixty-two patients were randomly assigned into two groups. The forced air warming (FAW) group received pre-warmed Ringer's solution with FAW until the end of surgery. The control group received Ringer's solution without FAW. The pre-warmed Ringer's solution was stored in a cabinet set at 40 °C. The FAW tube was placed beside the patient's shoulder with a temperature of 43 °C. RESULTS: Sixty patients completed the study. The FAW group showed significant differences versus the controls regarding temperature. At 6, 24 and 48 hours postoperatively, the incidences of PONV were 53.3%, 6.7% and 3.3% in the FAW group versus 63.3%, 30% and 3.3% in the controls. VAS scores were significantly lower in the FAW group than in the controls at 24 hours (P= 0.035). Forty-item questionnaire total scores in the FAW group were significantly higher than in the controls. The physical independence and pain scores at 24 hours and emotional support and pain scores at 48 hours in the FAW group were higher than in the controls (P 0.05). There was no difference in hemodynamics or demographics between the two groups (P 0.05). CONCLUSIONS: Prophylactic rewarming relieved PONV and improved the quality of postoperative recovery. CHINESE CLINICAL TRIAL REGISTER (ChiCTR): ChiCTR-IOR-17012901.
机译：背景：术后恶心和呕吐（PONV）是一般麻醉的常见并发症，影响术后恢复。目的：评价全身麻醉后预防性复员，从而降低腹腔镜子宫颈术后患者的PONV发病率。设计与环境：中国医院预期随机临床研究。方法：将六十二名患者随机分配为两组。强制空气变暖（一汽）组接受预热的林格的溶液，直到手术结束。控制组在没有一汽的情况下接收铃声的解决方案。预热的林格的溶液将储存在40°C的机柜中。将刮刀置于患者的肩部旁边，温度为43℃。结果：60例患者完成了这项研究。一只直到对温度的对照表现出显着的差异。在术后6,24和48小时，PONV的发生率为53.3％，6.7％和3.3％，对照组63.3％，30％和3.3％。在24小时的对照中，VAS分数显着低于对照（P = 0.035）。四十件商品问卷全面分数明显高于控制。一汽集团在48小时内24小时的物理独立和疼痛分数和情绪支持和疼痛分数高于对照组（P <0.05）。两组之间的血流动力学或人口统计学没有差异（p> 0.05）。结论：预防性复原缓解PONV并提高了术后复苏的质量。中国临床试验登记（CHICTR）：CHICTR-IOR-17012901。

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