在整形外科手术中抗药和Apfel分数
Van N Tran1, Brennan J Fitzpatrick1, Sourav Das1,2
1The Royal Melbourne Hospital, Melbourne, VIC, Australia.
Hospital pharmacy
|September 15, 2023
概括
整形外科患者通常具有较高的Apfel分数,这表明 postoperative恶心和吐 (PONV) 的风险更高. 然而,Apfel评分并不能预测本研究所需的抗药的数量.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 临床药房 临床药房
背景情况:
- 手术后恶心和吐 (PONV) 是一个常见的手术并发症.
- 确定PONV可靠的预测因子仍然是一个临床挑战.
研究的目的:
- 为了评估骨科患者的Apfel分数.
- 为了将Apfel分数与抗发药物处方模式相关联.
- 评估Apfel评分查对PONV预测的有用性.
主要方法:
- 在澳大利亚一家三级医院对111名骨科患者的回顾性分析.
- 患者被分配了阿佩尔分数.
- 处方和使用的抗药被记录下来.
主要成果:
- 大多数患者在阿佩尔评分尺度上得分为2或更高,这表明PONV风险增加.
- 在Apfel评分和使用的抗药量之间没有发现显著的相关性.
- 很少有百分比的患者没有记录APFEL分数.
结论:
- 整形外科患者通常呈现较高的Apfel分数,表明对PONV.
- 在这个队列中,Apfel评分查不能可靠地预测抗药物需求.
- 可能需要进一步的研究来完善骨科手术中的PONV风险评估.
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