冷蒸汽可以预防手术后恶心和吐吗? 在拉巴罗镜胆囊切除术后? 一个随机对照试验
Özlem İbrahimoğlu1, Betül Güven2, Esra Durmayüksel3
1Nursing Department, Faculty of Health Sciences, İstanbul Medeniyet University, İstanbul, Turkey.
概括
冷蒸汽显著减少了腹腔镜胆囊切除术后的术后恶心,但没有影响吐. 这种干预提供了一种潜在的治疗术后恶心的方法.
科学领域:
- 麻醉学 麻醉学
- 手术护理 医疗护理
背景情况:
- 手术后恶心和吐 (PONV) 是腹腔镜胆囊切除术后的常见并发症.
- 对PONV有效的管理策略对于患者的康复和满意度至关重要.
研究的目的:
- 研究冷蒸气吸入在缓解手术后早期恶心和吐的疗效.
- 评估冷蒸汽对PONV的发病率和严重性的影响.
主要方法:
- 一项随机对照试验,涉及88名接受腹腔镜胆囊切除术的患者.
- 干预组在麻醉后护理单位 (PACU) 接受了15分钟的冷蒸汽.
- 恶心和吐在多个时间点被评估,直至手术后24小时.
主要成果:
- 在冷蒸汽组中,在术后30分钟,2小时和6小时观察到恶心严重程度和发病率的统计显著减少.
- 在冷蒸汽和对照组之间没有发现吐发生率的显著差异.
- 冷蒸汽疗法在减少术后恶心方面表现出显著的效果.
结论:
- 冷蒸汽应用是一种有效的干预措施,用于减少腹腔镜胆囊切除术后的术后恶心.
- 这种方法似乎没有影响术后吐.
- 在这种患者群体中,冷蒸汽可以被视为PONV控制的辅助疗法.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.4K
05:56Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
Published on: June 21, 2024
724
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
927
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
927
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
820
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
820
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
