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Int J Oral Max Surg： 口腔颌面外科术后恶心呕吐的前瞻性研究

2018-04-22 MedSci MedSci原创

术后不良反应恶心呕吐
关注

恶心呕吐（PONV）是手术后非常不愉快的经历之一，住院时间较长，不仅会降低患者的满意度还会增加住院费用。这项前瞻性研究的目的是确定正颌手术是否与较少侵入性颌面外科相关的PONV更多。

恶心呕吐（PONV）是手术后非常不愉快的经历之一，住院时间较长，不仅会降低患者的满意度还会增加住院费用。这项前瞻性研究的目的是确定正颌手术是否与较少侵入性颌面外科相关的PONV更多。

实验纳入了308位8-87岁接受颌面外科手术的患者。术前计算基于Apfel评分的PONV评分。 142例（46.1％）在术后前三天发生PONV；这些患者被进一步分类为术后恶心（PON）和/或术后呕吐（POV）。 PON在下颌骨正颌手术后最常见（75％），POV在上颌正颌手术中常见，包括双颌手术，Le Fort I截骨术和手术辅助快速腭弓扩张（SARPE）（43.1％）。术前PONV评分与PONV发生率之间有微小的显着相关：当术前PONV评分较高时，患者会经历更多的PONV。正颌手术后PONV的发生率与拔牙术和其他小手术后相比非常高。还需要进一步的研究以减少正颌手术后的PONV。

原始出处：

M. Dobbeleir， et al. Postoperative nausea and vomiting after oral and maxillofacial surgery： a prospective study. Internatonal Journal of Oral and Maxillofacial Surgery. 2018 June. doi：10.1016/j.ijom.2017.11.018

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    2018-10-03 花花1377

    #口腔颌面外科#

    0

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    2018-11-02 小几洁

    #Oral#

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    2019-03-12 1508842480_96220437

    #前瞻性#

    0

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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Apr 23 00:20:22 CST 2018, time=2018-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308319, encodeId=1abb30831971, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sun Apr 22 22:54:42 CST 2018, time=2018-04-22, status=1, ipAttribution=)]
    2019-03-20 lhlxtx

    #前瞻性研究#

    0

  5. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Apr 23 00:20:22 CST 2018, time=2018-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308319, encodeId=1abb30831971, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sun Apr 22 22:54:42 CST 2018, time=2018-04-22, status=1, ipAttribution=)]
    2018-05-03 沙漠浪人

    手术呕吐会增加病人费用

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Apr 23 00:20:22 CST 2018, time=2018-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308319, encodeId=1abb30831971, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sun Apr 22 22:54:42 CST 2018, time=2018-04-22, status=1, ipAttribution=)]
    2018-04-24 三生有幸9135

    学习一下谢谢分享

    0

  7. 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createdName=智者为医08, createdTime=Tue Apr 24 12:34:00 CST 2018, time=2018-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1408404, encodeId=839a1408404d5, content=<a href='/topic/show?id=b2785288540' target=_blank style='color:#2F92EE;'>#恶心呕吐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52885, encryptionId=b2785288540, topicName=恶心呕吐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89b42741498, createdName=vividelife, createdTime=Tue Apr 24 12:34:00 CST 2018, time=2018-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308339, encodeId=796930833944, content=厉害了我的哥, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Apr 23 00:20:22 CST 2018, time=2018-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308319, encodeId=1abb30831971, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sun Apr 22 22:54:42 CST 2018, time=2018-04-22, status=1, ipAttribution=)]
    2018-04-24 智者为医08

    #恶心#

    0

  8. 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    2018-04-24 vividelife

    #恶心呕吐#

    0

  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Apr 23 00:20:22 CST 2018, time=2018-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=308319, encodeId=1abb30831971, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sun Apr 22 22:54:42 CST 2018, time=2018-04-22, status=1, ipAttribution=)]
    2018-04-23 飛歌

    厉害了我的哥

    0

  10. 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    2018-04-22 131****2916

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