논문KCI 등재
수술 후 구역과 구토
Postoperative Nausea and Vomiting
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참고문헌
키워드
주제분류내과학
초록
지난 수십 년간 수술 후 구역과 구토를 줄이기 위한 수많은 연구들이 진행되어 왔다. 수술 후 구역과 구토의 발생은 여러 가지 원인에 의하여 발생하기 때문에 완벽하게 해결하는 것은 매우 어려운 문제이며, 수술 후 구역과 구토를 줄이기 위해서는 위험 요소의 평가, 위험인자에 따른 예방과 치료를 모두 포함하는 체계적인 접근이 필요하다. 다양한 연구들을 통하여 향후 구역과 구토 발생을 최소화하여 환자의 만족도를 높이고 의료 비용을 줄이려는 노력이 계속되어야 한다.
Abstract
Postoperative nausea and vomiting (PONV) is considered as a main cause of dissatisfaction after surgery with postoperative pain. Overall incidence of PONV is 30%, and the incidence rate can increase up to 70-80% in high-risk patient groups. The causes of PONV are multifactorial and can largely be categorized as patient risk factors, surgical procedure, and anaesthetic technique. Pharmacological treatments including dopamine antagonist, anti-histamines, anticholinergics, dexamethasone, neurokinin-1 antagonists, and serotonin antagonist are used to prevent and treat PONV. This article reviews the prevalence, mechanisms, and risk factors of PONV, and how to prevent and treat it. (Korean J Med 2012;82:537-542)
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