相关实验视频
Updated: Sep 19, 2025

07:37
Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
23.7K
代谢性腹手术后的术后恶心和吐:综合性审查
Nozim Jumaev1, Oktyabr Teshaev2, Azamat Rajapov3
1Tashkent Medical Academy, Tashkent, Uzbekistan. drsurgeonmd@gmail.com.
Obesity surgery
|June 18, 2025
概括
手术后的恶心和吐 (PONV) 影响了20-70%的代谢性腹手术 (MBS) 后的患者. 针对个体风险因素量身定制的多式预防和治疗策略对于MBS患者的有效PONV管理至关重要.
科学领域:
- 腹部外科 腹部外科
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
背景情况:
- 代谢性减肥手术 (MBS) 是一种常见的疾病肥胖症治疗方法.
- 手术后恶心和吐 (PONV) 是影响患者MBS后康复的常见并发症.
- 了解MBS患者的PONV对于改善手术结果至关重要.
研究的目的:
- 审查MBS患者PONV的流行病学,病理生理学,风险因素和临床特征.
- 在MBS的背景下检查PONV的当前预防和治疗策略.
- 为了突出需要MBS特定的PONV指导方针.
主要方法:
- 在Cochrane图书馆,PubMed和MEDLINE (2000-2024) 的系统文献搜索.
- 包括随机对照试验,队列研究,系统审查和元分析.
- 关键词集中在代谢性减肥手术和PONV预防/治疗上.
主要成果:
- 在MBS后的PONV发病率在20%到70%之间,受手术类型,麻醉和患者因素的影响.
- 多因素导致PONV的原因包括神经激素,炎症,机械和药理机制.
- 风险因素包括女性性别,非吸烟者,PONV/运动疾病史和阿片类药物使用;多式预防是有效的.
结论:
- 在MBS中有效的PONV管理需要基于风险评估的多模式方法.
- 应采用目前的药理和非药理方法来预防和治疗PONV.
- 需要进一步研究MBS特定的指导方针,考虑到独特的患者特征和外科手术技术.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
421
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
421
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
183
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...
183
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
267
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...
267
Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Cardiomyopathy VII: Pre and Post Operative Nursing Management
33
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
33
Enteral Nutrition I: Orogastric and Nasogastric Feeding
484
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
484

