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1、NewGuidelinesforPost-OpNauseaIncludeProphylaxis,AcupunctureMarthaKerr预防及治疗术后恶心呕吐的新方法作者：MarthaKerNEWYORK(ReutersHealth)Oct17-Updatedguidelinesformanagingpost-operativenauseaandvomitingwereannouncedMondayattheannualmeetingoftheAmericanSocietyofAnesthesiologists,underwayinChicago.纽约路透社
2、健康报在10月17号刊登了一篇关于处理术后恶心呕吐的新方法的报道，这篇报道是星期一在芝加哥举行的美国麻醉科学年度会议上发表的Newlyincludedmeasuresincludeprophylaxis,withanemphasisontheuseofthe5-HT3-receptorantagonistssuchasodansetron,andinclusionofacupuncturetoreducethenauseaandvomitingassociatedwithgeneralanesthesia.新方法主要是强调关于5-HT3受体拮抗药如昂丹司琼以及
3、包括一些针灸等方法降低全身麻醉的恶心呕吐的预防措施。GuidelinesforadultsandforchildrenwerepresentedbyDr.TongJ.GanofDukeUniversityinDurham,NorthCarolina,onbehalfofamultidisciplinaryteam,includinganesthesiologists,surgeons,pharmacists,nurseanesthetistsandbiostatisticians,andwiththesupportoftheSocietyforAmbulato
4、ryAnesthesia.新方法的研究对象主要是成人及儿童，是由美国北卡罗来纳州公爵大学的Dr.TongJ.Gan开展的，由一个多学科康复小组包括麻醉医师，外科医师，药剂师，麻醉护士和生物统计学家组成，另外还有非住院手术麻醉群体的支持。Thenewguidelinesidentifyriskfactorsfornauseaandvomitingfromanesthesia.Theseincludefemalegender,non-smokingstatusandahistoryofpost-operativenauseaandvomitingormotions
5、ickness.Thetypeofanesthesiaalsoplaysaroleandincludesvolatileanestheticsandnitrousoxide.Post-operativeuseofopioidsalsoincreasesriskofnauseaandvomiting.新方法主要是辨别麻醉后恶心呕吐的高危因素如：女性、不吸烟以及有术后恶心呕吐史或者晕动症的人群。麻醉的方法同样起的重要的作用像吸入麻醉、笑气等，还有那些术后使用阿片类药物的患者同样增加恶心呕吐的风险。Odansetronandtheother5-HT3-recepto
6、rantagonists,dexamethasoneanddroperidolareequallyeffective,Dr.Gannoted,reducingriskofnauseaandvomitingbyabout25%.Supplementaloxygendoesnothelpcontrolsymptoms,andstandarddosesof10mgmetoclopramideareineffective.Dr.Gan指出昂丹司琼以及其他一些5-HT3受体拮抗药，地塞米松和氟哌利多等药效果基本相同，大约能够降低大约25%的恶心呕吐。人工氧气吸入不能控制
7、症状,10mg剂量的灭吐灵是非常有效的.Nonpharmacologicprophylaxiswithacupuncturealsoisveryeffective,Dr.GantoldReutersHealth."Onlyonepointisneeded,theT6point,"hesaid,whichmeansnoextensiveknowledgeofthetechniqueisrequired.中医如针灸在预防恶心呕吐方面也起着同样重要的作用，Dr.Gan告诉路透社健康报，“这个小组中的成员缺一不可”。Updatedguidelinesforchildr
8、enwerealsoannounced
