盐酸戊乙奎醚预防女性腹腔镜胆囊切除术后呕吐的临床观察

    Effect of penehyclidine hydrochloride on preventing the vomitting of female patients after laparoscopic cholecystectomy

    • 摘要: 目的:观察盐酸戊乙奎醚预防成年女性腹腔镜胆囊切除(LC)术后恶心、呕吐的效果。方法:将150例全身麻醉下进行LC的女性患者随机分为3组,Ⅰ、Ⅱ组从腹腔取出胆囊时分别肌内注射盐酸戊乙奎醚1 mg、0.5 mg;Ⅲ组不注射任何药物。记录各组患者术后24 h内恶心、呕吐发生程度,并对各个呕吐级别出现的病例计数。结果:术后恶心、呕吐发生率Ⅰ组和Ⅱ组均低于Ⅲ组(P0.01)。结论:成年女性LC术中取出胆囊时,肌内注射盐酸戊乙奎醚能预防术后恶心、呕吐,且1 mg效果优于0.5 mg。

       

      Abstract: Objective:To observe the effects of penehyclidine hydrochloride on preventing the nausea and vomitting of female patients after laparoscopic cholecystectomy(LC). Methods:One hundred and fifty female patients treated with LC undergoing general anesthesia were randomly divided into three groups. Group Ⅰ and Ⅱwere injected with 1 mg and 0. 5 mg of penehyclidine hydrochloride when the cholecyst was cut off, and group Ⅲ was not injected with any drugs. The degree of nausea and vomiting of all groups was recorded within 24 h postoperation and the incidence of each grade was counted. Results:The incidences of postoperative nausea and vomiting of group Ⅰ and Ⅱ were significantly lower than that of group Ⅲ(P0.01). Conclusions:Injection of panehyclidine hydrochloric during the process of cutting off the cholecyst in adult female patients can prevent the nausea and vomiting postoperation, and the effects of 1 mg are better than that of 0. 5 mg.

       

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