剖宫产、术后增强恢复(ERAS)和蛛网膜下腔阻滞(SAB)麻醉患者的术后恶心和呕吐发生率

Yustina Ni, Putu Yusniawati, Emanuel Ileatan Lewar, I. Gde, Agus Shuarsedana, Valentine Claradicha
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摘要

背景:ERAS已被广泛证明是控制术后疼痛、恶心和呕吐的有效方法。将阿片类药物剂量减少50%的疼痛管理,包括静脉输液,以及使用止吐药物的组合可能会有更好的结果。目标。本研究旨在探讨蛛网膜下腔阻滞(SAB)麻醉剖宫产患者行ERAS手术后PONV的发生率。方法:本研究采用描述性设计的定量研究。本研究于2022年3月至4月进行,涉及60例剖宫产术后SAB和ERAS患者。采用单变量分析来呈现PONV事件的频率分布,以回答研究目标。结果:大多数参与者年龄在30 - 35岁之间(29;48.3%),归为健康体重组(33;55%), Bromage评分为1 (60;100%)。50名参与者(83.3%)的大多数参与者在手术后没有出现恶心和呕吐。只有7名(11.7%)和3名(5%)参与者分别报告了轻度和中度恶心和呕吐。结论:在剖宫产术中应用ERAS是一种合适的技术。研究结果证实了其在减少术后恶心和呕吐发生率方面的有效性。因此,建议ERAS作为剖宫产手术的有效且有前景的方案。
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PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia
Background, ERAS has been widely demonstrated as an effective method for controlling postoperative pain, nausea, and vomiting. Pain management that cuts the dose of opioids by 50%, involves administering intravenous fluids, and using a combination of antiemetic drugs may have a better outcome. objective. This study aims to determine the incidence of PONV after the ERAS procedure in cesarean section patients with Subarachnoid Block (SAB) anesthesia. Method, This research is quantitative research with a descriptive design. This study was conducted from March to April 2022, involving 60 post-cesarean section patients with SAB and ERAS. Univariate analysis that presents the frequency distribution of PONV events was applied to answer the research objectives. Results, Most of the participants were between 30 and 35 years old (29; 48.3%), classified into the healthy weight group (33; 55%), and identified with a Bromage score of 1 (60; 100%). The majority of participants amounting to Fifty participants (83.3%) did not experience episodes of nausea and vomiting after the procedure. Only seven (11.7%) and three (5%) participants reported mild and moderate nausea and vomiting after the process, respectively. Conclusion, the ERAS method is an adequate technique presented in cesarean section procedures. The findings confirm its effectiveness in reducing the incidence of postoperative nausea and vomiting. Thus, proposing ERAS as an effective and promising protocol for cesarean section procedures.
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