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예방적으로 투여한 Dolasetron과 마취 유도제로 사용한 Propofol이 갑상선 절제술 후 오심과 구토에 미치는 영향
조한범 ( Han Bum Joe ),박은정 ( Eun Jung Park ),박선경 ( Sun Kyung Park ),김은진 ( Eun Jin Kim ),박재홍 ( Jae Hong Park ),최정웅 ( Jeong Woong Choi ),김진수 ( Jin Soo Kim ),이숙영 ( Sook Young Lee ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.3
Background: Postoperative nausea and vomiting (PONV) is a common problem in patients undergoing thyroidectomy. In this study we evaluated the effects of prophylactic dolasetron and/or induction with propofol on PONV. Methods: Two hundred three patients scheduled thyroidectomy under general anesthesia with sevoflurane were included and were randomly allocated to one of four groups. In control (group C) and dolasetron groups (group D), the patients received thiopental sodium 4-5 mg/kg intravenously for the induction of anesthesia, and the patients in group D received prophylactic intravenous dolasetron 210 μg/kg. In propofol (group P) and dolasetron+propofol groups (group D+P), the patients received propofol 2 mg/kg intravenously for the induction of anesthesia, and the patients in group D+P received prophylactic intravenous dolasetron 210 μg/kg. The incidence and severity of PONV, the need for rescue antiemetics, adverse events were assessed during 0 to 1 hour and 1 to 24 hours postoperatively. Results: During the first 24 hours after anesthesia, the incidences of PONV and postoperative vomiting were significantly reduced in group D+P compared with group C (P<0.05, respectively). There were no significant differences in postoperative nausea, need for rescue antiemetics, severity of PONV, and adverse events of antiemetics among the four groups. Conclusions: In patients with thyroidectomy, combination of prophylactic dolasetron administration and induction with propofol was found to reduce the incidence of PONV during the first 24 hours after anesthesia, compared with that of routine induction with thiopental sodium. (Korean J Anesthesiol 2009;57:320∼6)