内关穴辣椒素敷贴法防治术后恶心呕吐的应用  

Application of Neiguan Acupoint Capsaicin Application Method on Prevention of Postoperative Nausea and Vomiting

作　　者：刘志毅[1] 宋志平[1] 陈福梅[1] 徐琳[1] 尹世平[1] 黎远灵 

机构地区：[1]南昌大学第一附属医院麻醉科,南昌330006 [2]南昌大学医学院麻醉系,南昌330006

出　　处：《中国中医药现代远程教育》2015年第8期17-18,共2页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生厅中医药课题(No:2013B017)

摘　　要：目的分析无创穴位刺激对术后恶心呕吐的防治效果。方法选取120例全身麻醉术后患者为研究对象,根据术后恶心呕吐干预方法将其分为辣椒素敷贴组、常规药物防治组及空白对照组各40例。辣椒素敷贴组患者在全身麻醉诱导前30 min在其双侧内关穴敷贴辣椒素软膏;常规药物防治组全身麻醉结束前30 min给予4 mg昂丹司琼静脉注射干预;空白对照组不给予任何防治干预,比较三组患者术后24 h恶心呕吐发生情况。结果辣椒素敷贴组、常规药物防治组恶心呕吐发生情况均优于空白对照组,组间差异有统计学意义(P<0.05);且辣椒素敷贴组患者恶心呕吐防治情况优于常规药物防治组,组间差异有统计学意义(P<0.05)。结论无创穴位刺激对术后恶心呕吐的防治效果显著,值得在临床上进一步推广。Objective To analyze the effect on the prevention and treatment of noninva sive acupoint stimulation on postoperative nausea and vomiting. Methods 120 cases of patients under general anesthesia for the study, according to postoperative nausea and vomiting intervention capsaicin application group would be divided into conventional drug treatment group and the control group, with 40 cases in each group. Before induction of general anesthesia 30 min, sticking capsaicin patients received capsaicin ointment applicator in its bilateral Neiguan. The conventional drug treatment group was given general anesthesia before the end of the 30 min intravenous ondansetron 4 mg intervention. The control group didn’t give any prevention interventions. The 24 h postoperative nausea and vomiting of the three groups were observed. Results The incidence of nausea and vomiting of the capsaicin application group and conventional drug treatment group were superior to the control group, and had a statistically significant difference between groups（ P 〈0.05）; the capsaicin applicator incidence of nausea and vomiting in patients was superior to the conventional drug treatment group, the difference had statistically significant（ P 〈0.05）. Conclusion The effect of noninvasive acupuncture stimulation on postoperative nausea and vomiting prevention was significant and worthy of further promotion in clinical practice.

关 键 词：内关 穴位敷贴 术后并发症 恶心呕吐 辣椒素 

分 类 号：R614[医药卫生—麻醉学]