长春中医药大学学报2025，Vol.41Issue(6)：698-702,5.DOI:10.13463/j.cnki.cczyy.2025.06.022
腔镜甲状腺手术术后恶心呕吐预防的研究进展
Research progress in prevention of nausea and vomiting after endoscopic thyroid surgery
摘要
Abstract
Compared with traditional open surgery,endoscopic thyroid surgery can help reduce surgical trauma,facilitate postoperative rehabilitation,reduce postoperative pain,but there is still a higher probability of postoperative nausea and vomiting(PONV).PONV not only brings discomfort to patients,but also seriously affects their postoperative eating and rest.More seriously,nausea and vomiting increase the risk of postoperative wound hemorrhage,and the risk of hematoma formation in the neck,leading to airway obstruction.In this paper,the possible mechanism of PONV is discussed through the synthesis of various data,including elevated intracranial pressure caused by surgical position,the gender and body type of the patient,the method of anesthesia and drugs,and the history of motion sickness.This article also summarizes the current clinical methods used to improve PONV from the perspectives of drug therapy and non-drug therapy,so as to provide surgeons with better recommendations for alleviating patients'PONV and improve patients'quality of life.关键词
术后恶心呕吐/腔镜下甲状腺手术/术后风险Key words
postoperative nausea and vomiting/endoscopic thyroid surgery/postoperative risk分类
医药卫生引用本文复制引用
刘宇宸,贯佳莹,单聪慧,闫婷裕,刘铁成..腔镜甲状腺手术术后恶心呕吐预防的研究进展[J].长春中医药大学学报,2025,41(6):698-702,5.基金项目
吉林省科技发展计划项目(20190304116YY) （20190304116YY）
