草药和外科手术期间的护理
M K Ang-Lee1, J Moss, C S Yuan
1Department of Anesthesia and Critical Care, University of Chicago, 5841 S Maryland Ave, MC 4028, Chicago, IL 60637, USA. cyuan@midway.uchicago.edu
JAMA
|July 13, 2001
概括
常见的草药药物,如草和金科,可以在手术期间对患者的护理产生负面影响. 医生必须询问草药的使用,以有效地管理潜在的外科手术风险.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 综合医学是一个整体的医学.
背景情况:
- 草药的广泛使用给外科手术期间的患者护理带来了潜在的风险.
- 了解这些风险对于维持手术环境中的患者安全至关重要.
研究的目的:
- 审查有关在外科手术前期常用草药的文献.
- 为手术前使用草药药物提供管理策略.
主要方法:
- 在MEDLINE和Cochrane数据库 (1966-2000) 中搜索了草药,植物疗法和替代医学.
- 包括关于8种常见草药的研究,病例报告和评论,以及可用的外科手术后安全数据.
- 提取和合成安全性,药理动力学和药理动力学信息.
主要成果:
- 八种常见的草药 (,,大,银杏,人参,卡瓦,圣约翰草,香) 引起了外科手术期间的关注.
- 潜在的并发症包括出血 (大,金科,人参),心血管不稳定 (ephedra),低血糖 (人参),增强镇静 (卡瓦,草) 和改变药物代谢 (圣约翰草).
结论:
- 医生必须在术前评估期间积极记录患者的草药药物史.
- 熟悉潜在的草药相互作用和作用对于预防和管理术后并发症至关重要.
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