氟哌利多穴位注射对妇科腹腔镜手术后恶心呕吐的影响  

Effect of Droperidol Acupoint Injection on Postoperative Nausea and Vomiting in Patients Undergoing Gynecological Laparoscopic Surgery

作　　者：刘晓捷[1] 邹夏禹[1] 李冬妹[1] 杨志滢 黄志伟[1] 

机构地区：[1]佛山市中医院麻醉科,广东佛山528000

出　　处：《中国医院用药评价与分析》2015年第7期919-920,共2页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的：观察氟哌利多穴位注射对妇科腹腔镜手术后恶心呕吐的影响。方法：将60例妇科腹腔镜手术患者以随机数字表法分为A组（n=30）和I组（n=30）。A组患者在诱导前10 min于双侧内关穴注射氟哌利多1 mg,I组患者在诱导前10 min静脉注射氟哌利多2 mg。记录患者术毕至拔气管导管时间、术毕至听从指令时间、术后24 h内恶心呕吐发生率及严重程度。结果：A组患者术后0-1、1-2、2-4、4-12 h的恶心呕吐评分（NVS评分）低于I组,麻醉后监测治疗室内给予止吐药的病例数少于I组（P均〈0.05）。2组患者术后12-24 h的NVS评分、拔管时间、听从指令时间的差异无统计学意义（P〉0.05）。结论：氟哌利多穴位注射预防妇科腹腔镜手术后恶心呕吐的效果优于静脉注射氟哌利多,且不影响麻醉恢复。OBJECTIVE： To evaluate the effect of acupoint injection of droperidol on postoperative nausea and vomiting in patients after undergoing gynecological laparoscopic surgery. METHODS： 60 patients undergoing gynecological laparoscopic surgery were randomly assigned to two groups（ group A and group I） of 30 cases each. In group A,droperidol at a dose of 1 mg was administered into bilateral Neiguan acupoints before anesthetic induction,while droperidol（ 2 mg） was intravenously administered 30 minutes before induction in patients of group I. Time from operation completion to extubation and the time from operation completion to response to verbal command,as well as the incidence and severity of nausea and vomiting within 24 hours after operation completion were recorded.RESULTS： The nausea and vomiting scores（ NVS） score at 0-1,1-2,2-4,4-12 hours were lower in group A than in group I,and group A had fewer antiemetic drug receivers than in group I after anesthesia（ P〈0. 05）. There were no significant differences between the two groups in the NVS scores at 12-24 hours,the time to extubation time and the time to response to verbal command（ P〉0. 05）. CONCLUSIONS： Acupoint injection of droperidol is better than intravenous administration of droperidol in preventing postoperative nausea and vomiting yet without affecting patients＇ recovery from anesthesia in patients after undergoing gynecological laparoscopic surgery.

关 键 词：氟哌利多 穴位注射 术后恶心呕吐 妇科 腹腔镜 平衡麻醉 

分 类 号：R971[医药卫生—药品]