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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (01) : 131 -136. doi: 10.3877/cma.j.issn.1674-134X.2024.01.017

综述

防治关节置换术后恶心呕吐的研究进展
王圣睿1, 曹国瑞2, 谭红略2,†()   
  1. 1. 450046　郑州，河南中医药大学
    2. 471002　河南省洛阳正骨医院（河南省骨科医院）膝关节外科中心
  • 收稿日期:2023-03-22 出版日期:2024-02-01
  • 通信作者: 谭红略
  • 基金资助:
    国家自然科学基金项目(2021-45-0387)

Research progress on prevention and treatment of nausea and vomiting after joint replacement

Shengrui Wang1, Guorui Cao2, Honglue Tan2,†()   

  1. 1. Henan University of Chinese Medicine, Zhengzhou 450046, China
    2. Henan Luoyang Orthopaedic-Traumatological Hospital Knee joint center, Luoyang 471002, China
  • Received:2023-03-22 Published:2024-02-01
  • Corresponding author: Honglue Tan
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王圣睿, 曹国瑞, 谭红略. 防治关节置换术后恶心呕吐的研究进展[J]. 中华关节外科杂志(电子版), 2024, 18(01): 131-136.

Shengrui Wang, Guorui Cao, Honglue Tan. Research progress on prevention and treatment of nausea and vomiting after joint replacement[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(01): 131-136.

术后恶心呕吐(PONV)是关节置换术后常见的并发症之一，也是围术期常见的胃肠道功能失调的表现。持续且严重的PONV对患者术后康复进程产生极大不利影响。研究发现提前识别高危人群，术前术后给予相关防治措施可以有效减少PONV的发生几率并降低其严重程度。目前各类手术防治PONV的研究成果已经较为成熟，但应用于关节置换围术期的相对较少，本文回顾性分析既往外科手术中预防治疗PONV的方式，将方法加以汇总进行综述，以期为关节置换术PONV防治提供参考。

关键词: 关节成形术，置换, 手术后恶心呕吐, 危险因素, 药物疗法, 术后加速康复

Postoperative nausea and vomiting ( PONV ) is one of the common complications after joint replacement, and it is also a common manifestation of gastrointestinal dysfunction during perioperative period. Persistent and severe PONV has a great adverse effect on the postoperative rehabilitation process of patients. The study found that identifying high-risk groups in advance and giving relevant prevention and treatment measures before and after surgery can effectively reduce the incidence and severity of PONV. At present, the researches on the prevention and treatment of PONV in various surgeries have been developed, but only a few applications are reported in the perioperative period of joint replacement. This article retrospectively analyzed the methods of prevention and treatment of PONV in previous surgeries, and summarized the methods to provide reference for the prevention and treatment of PONV in joint replacement.

Key words: Arthroplasty, Postoperative nausea and vomiting, Risk factors, Drug therapy, Enhanced recovery after surgery
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