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首页> 外文期刊>Surgical endoscopy >Management of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy (Retracted article. See vol. 27, pg. 2550, 2013)
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Management of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy (Retracted article. See vol. 27, pg. 2550, 2013)

机译：腹腔镜胆囊切除术患者术后恶心呕吐的管理（撤稿文章。见第27卷，第2550页，2013年）

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摘要

The common and distressing complications of postoperative nausea and vomiting (PONV) are the main concern of 40-70 of patients undergoing laparoscopic cholecystectomy (LC). The first step in preventing PONV after LC is to reduce the risk factors involving patient characteristics, surgical procedure, anesthetic technique, and postoperative care. Particularly, the use of propofol-based anesthesia can reduce the incidence of PONV after LC. Second, prophylactic antiemetics including antihistamines (dimenhydrinate), phenothiazines (perphenazine), butyrophenones (droperidol), benzamides (metoclopramide), dexamethasone, and serotonin receptor antagonists (ondansetron, granisetron, tropisetron, dolasetron, and ramosetron) are available for preventing PONV after LC. Third, antiemetic therapy combined with a serotonin receptor antagonist (ondansetron, granisetron) and droperidol or dexamethasone is highly effective in the prevention of PONV after LC. Fourth, acupressure at the P6 point is a nonpharmacologic technique that is as effective as ondansetron for preventing PONV after LC. Knowledge regarding the risk factors for PONV and antiemetics is needed for the management of PONV after LC.
机译：术后恶心和呕吐 （PONV） 的常见和令人痛苦的并发症是 40-70% 接受腹腔镜胆囊切除术 （LC） 的患者的主要关注点。LC 后预防 PONV 的第一步是减少涉及患者特征、外科手术、麻醉技术和术后护理的危险因素。特别是，使用基于丙泊酚的麻醉可以降低LC后PONV的发生率。其次，预防性止吐药包括抗组胺药（苯海明）、吩噻嗪类药物（奋乃静）、苯丁酮类药物（氟哌利多）、苯甲酰胺类（甲氧氯普胺）、地塞米松和血清素受体拮抗剂（昂丹司琼、格拉司琼、托司琼、多拉司琼和雷莫司琼）可用于预防 LC 后 PONV。第三，止吐治疗联合5-羟色胺受体拮抗剂（昂丹司琼、格拉司琼）和氟哌利多或地塞米松对预防LC后PONV非常有效。第四，P6 点穴位按压是一种非药物技术，在预防 LC 后 PONV 方面与昂丹司琼一样有效。LC 后 PONV 的管理需要了解 PONV 和止吐药的危险因素。

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