论文部分内容阅读
目的探讨恩丹西酮复合地塞米松防治妇科手术后恶心呕吐的临床效果。方法120例择期妇科手术患者,ASAI或Ⅱ级,随机分成4组,每组30例,分别是恩丹西酮8mg组、地塞米松10mg组、恩丹西酮8mg复合地塞米松10mg组,对照组给予生理盐水4ml;观察术后24小时内患者恶心、呕吐的发生率。结果地塞米松组和恩丹西酮组的抗呕吐效果均优于对照组(P<0.05),而地塞米松组和恩丹西酮组之间无明显差异,恩丹西酮复合地塞米松组的效果要明显优于地塞米松组和恩丹西酮组(P<0.05)。结论恩丹西酮复合地塞米松可有效防治妇科手术后恶心呕吐的发生。
Objective To investigate the clinical effect of ondansetron and dexamethasone on prevention and treatment of nausea and vomiting after gynecological surgery. Methods One hundred and twenty patients undergoing elective gynecological surgery were randomly divided into 4 groups (n = 30): ondansetron 8 mg, dexamethasone 10 mg, ondansetron 8 mg and dexamethasone 10 mg, The control group was given normal saline 4ml; the incidence of nausea and vomiting was observed within 24 hours after operation. Results The dexamethasone group and the ondansetron group had better anti-emetic effects than the control group (P <0.05), but there was no significant difference between the dexamethasone group and the ondansetron group. Ondansetron combined dexamethasone The effect of mitoxan was significantly better than dexamethasone and ondansetron (P <0.05). Conclusion Ondansetron and dexamethasone can effectively prevent and treat nausea and vomiting after gynecological surgery.