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The Effect of Colloid on the Postoperative Nausea and Vomiting in Fluid Therapy During Anesthesia

LIN Bin,LI Ping.Department of Anesthesia,the People's Hospital of Yuechi County,Sichuan Province 638300  
Objective:To discuss the effect of colloid on the postoperative nausea and vomiting in fluid therapy during anesthesia.Methods:64 ASA classⅠor Ⅱpatients who undergoing elective open cholecystectomy were randomly divided into hetastarch group(group H) and lactated Ringer's solution group(group L).The patients of group H received the hetastarch and sodium chloride,the group L received lactated Ringer's solution on the basis of a fluid administration algorithm.Comparing the difference of patients with anesthesia duration,awakening time,the consumption of remifentanil and propfol,the MAP,HR during the anesthesia,at the same time,comparing the difference of degree of postoperative nausea and vomiting and the time of hemorrhage and coagulation during anesthesia.Results:There was no significant difference in anesthesia duration,awakening time,remifentanil consumption,MAP and HR during anesthesia.The VAS of postoperative nausea and vomiting in group H was obviously lower than it in group L(P0.05).But the time of hemorrhage and coagulation in group H was obviously longer than group L.Conclusion:The reasonable application of the colloid fluid during anesthesia can obviously reduce the risk of postoperative nausea and vomiting.
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