甲强龙和地塞米松预防剖宫产术后恶心呕吐的疗效对比分析

被引：3

作者：

李棽丽 ^{[1
]}

段力仁 ^{[2
]}

李洋 ^{[1
]}

朱美琳 ^{[1
]}

董有静 ^{[1
]}

机构：

[1] 中国医科大学附属盛京医院麻醉科

[2] 中国医科大学附属第一医院血管外科

来源：

实用药物与临床 | 2017年 / 20卷 / 07期

关键词：

甲强龙; 地塞米松; 恶心; 呕吐; 剖宫产;

D O I：

10.14053/j.cnki.ppcr.201707007

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

目的比较甲强龙和地塞米松预防剖宫产术后恶心呕吐的临床疗效。方法择期剖宫产手术患者135例,按照随机数字表将患者随机分为3组,每组45例。M组:术毕静注甲强龙40 mg(2 mL);D组:术毕静注地塞米松8 mg(2 mL);N组:术毕静注生理盐水(2 mL)。观察术后24 h内恶心呕吐及救援止吐的情况。结果术后24 h内M组、D组、N组的PONV发生率分别为30.2%、34.9%、61.4%,M组、D组明显低于N组(P<0.05),但M组与D组之间差异无统计学意义(P>0.05),M组、D组、N组术后救援止吐率分别为9.3%、11.6%、34.1%,M组、D组明显低于N组(P<0.05),但M组与D组之间差异无统计学意义(P>0.05)。结论甲强龙、地塞米松单独使用均能有效预防剖宫产术后恶心呕吐的发生率,降低术后救援止吐率。

引用

页码：755 / 758

页数：4

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