对于术后恶心和吐的预防,Apfel评分系统的影响:一项随机对照试验
Shastri H Avinash1, Handattu Mahabaleswara Krishna1
1Department of Anesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of anaesthesiology, clinical pharmacology
|November 29, 2023
概括
使用Apfel评分系统指导手术后恶心和吐 (PONV) 预防并没有增加其发生率. 这种有针对性的方法还降低了接受手术的患者的预防成本.
科学领域:
- 麻醉学 麻醉学
- 手术护理 手术护理
- 患者安全 患者安全
背景情况:
- 手术后恶心和吐 (PONV) 是影响患者康复的常见并发症.
- 有针对性的预防策略可以优化护理质量和资源配置.
- Apfel评分系统提供了一种PONV风险分层的方法.
研究的目的:
- 使用Apfel评分系统来比较PONV发病率与通用预防.
- 评估实施Apfel评分系统对PONV管理的经济影响.
主要方法:
- 一项前性,随机,双盲,受控的研究,涉及70名在全身麻醉下的患者.
- 患者被随机分配到对照组 (全方位预防) 或干预组 (预防的Apfel风险分层).
- 在手术后24小时内,对PONV发病率和患者支出进行了监测.
主要成果:
- 在对照组中,PONV的发病率为14.3%,在Apfel评分组中为5.7% (P=0.428),没有显著增加.
- 在对照组中,100%的患者接受了预防治疗,而在Apfel组中,这一比例为48%.
- 在没有增加治疗成本的Apfel评分组中,患者对预防的支出明显较低.
结论:
- 根据Apfel评分系统保留PONV预防,与通用预防相比,不会增加发病率.
- 实施Apfel评分系统可以降低PONV预防和治疗的总体成本.
- 使用Apfel系统进行风险分层是管理PONV的有效策略.
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