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  • 标题:Comparison of Postoperative Nausea and Vomiting between Gynecologic Surgery and Cesarean-Section during Intravenous Patient-Controlled Analgesia with Fentanyl
  • 本地全文:下载
  • 作者:Park, Chang Kil ; Choi, Hwan Yeong ; Oh, In Young
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2004
  • 卷号:46
  • 期号:3
  • 页码:306-310
  • DOI:10.4097/kjae.2004.46.3.306
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:Background

    The purpose of this study was to compare the incidence of postoperative nausea and vomiting (PONV) in patients undergoing major gynecologic surgery with those undergoing Cesarean-section during intravenous patient-controlled analgesia (PCA).

    Methods

    Seventy two patients received general anesthesia with enflurane. Group 1 patients underwent major gynecologic surgery, and group 2 patients were parturients who underwent Cesarean-section. Postoperatively, fentanyl was continuously infused i.v. using Accufuser PLUS (basal, 2 ml/h; bolus, 0.5 ml; lockout interval, 15 min) containing fentanyl 25 µg/kg in saline. PONV was evaluated at 6, 12, 24 and 36 h after starting continuous infusion and compared in the two groups.

    Results

    The incidence of PONV was significantly lower in group 2 (14%) than in group 1 (67%) (P < 5).

    Conclusions

    Our results show that the incidence of PONV was lower for Cesarean-section than for gynecologic surgery.

  • 关键词:cesarean-section; fentanyl; gynecologic surgery; patient-controlled analgesia; postoperative nausea and vomiting (PONV)
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