托烷司琼与地塞米松用于治疗老年椎管内麻醉恶心呕吐的临床观察

发布时间：2017-12-31 04:00

本文关键词：托烷司琼与地塞米松用于治疗老年椎管内麻醉恶心呕吐的临床观察　出处：《中国医药指南》2016年18期 　论文类型：期刊论文

【摘要】：目的研究分析托烷司琼与地塞米松联合用于治疗老年患者椎管内麻醉恶心呕吐的临床效果。方法择取2015年1月至2016年1月在我院进行手术治疗的90例老年椎管内麻醉患者,运用随机取样法进行平均分组,一组45例患者给予托烷司琼治疗设为对照组;另一组45例患者给予托烷司琼联合地塞米松治疗设为研究组。结果研究组患者恶心的发生率11.11%(5/45)明显小于对照组的24.44%(11/45),差异P0.05有统计学意义。研究组患者恶心的发生率8.89%(4/45)明显小于对照组的20.0%(9/45),差异P0.05有统计学意义。结论托烷司琼联合地塞米松用于老年患者术中恶心呕吐,可有效减轻恶心呕吐的程度,减少恶心呕吐的发生率,具有重要的应用及推广价值。
[Abstract]:Objective to study the analysis of tropisetron combined with dexamethasone for the treatment of the clinical effect of elderly patients with spinal anesthesia for nausea and vomiting. Methods: from January 2015 to January 2016 were 90 cases of surgical treatment of senile spinal anesthesia in patients in our hospital, using the random sampling method of average packet, a group of 45 patients treated with tropisetron for treatment the control group; another group of 45 patients treated with tropisetron combined with dexamethasone in the treatment for the study group. The 11.11% patients in the study group the incidence of nausea (5/45) was less than 24.44% in the control group (11/45), the difference was statistically significant. The incidence rate of P0.05 in 8.89% patients in the study group were nausea (4/45) was significantly lower than the control group of 20% (9/45), the difference was statistically significant P0.05. Conclusion tropisetron combined with dexamethasone for elderly patients can effectively relieve nausea and vomiting, nausea and vomiting, nausea and vomiting reduced The incidence of spitting is of great value for application and popularization.

【作者单位】：内蒙古赤峰学院附属医院麻醉科;
【分类号】：R614
【正文快照】： 恶心呕吐是外科手术及麻醉最常见的一种并发症[1],尤其手术过程中患者的发生率最高。持续的恶心呕吐,可导致腹内压升高,随着手术进展,除不适症状外,患者还可能出现电解质紊乱、碱中毒、脱水等内环境紊乱现象,甚至造成死亡。不但会延长手术治疗时间,增加患者的痛苦,而且还会增

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