穴位按压联合揿针预防胃镜致恶心呕吐的临床研究  

Acupressure combined with press needles for prevention of gastroscopy-induced nausea and vomiting

作　　者：孙敏[1] 卢俏俐 曾旭燕[1] 边雪梅[1] 

机构地区：[1]浙江省中医院下沙院区,杭州310018

出　　处：《中国针灸》2016年第11期1131-1134,共4页Chinese Acupuncture & Moxibustion

基　　金：浙江省医药卫生科技计划课题:2014ZB037

摘　　要：目的:探索内关穴按压联合揿针预防胃镜检查所致恶心、呕吐的临床效果。方法:将120例第1次做胃镜检查的患者随机分为穴位按压组和穴位按压联合揿针组,每组60例,两组均在胃镜检查前行内关穴按压15min,穴位按压联合揿针组在穴位按压后予内关穴揿针至胃镜结束。观察两组患者行胃镜时恶心呕吐次数;于胃镜检查后记录患者对恶心呕吐视觉模拟量表评分;于胃镜检查前后观察患者状态-特质焦虑量表评分。结果:穴位按压联合揿针组恶心呕吐的次数较穴位按压组少(P<0.05);穴位按压联合揿针组恶心呕吐视觉模拟量表评分较穴位按压组低(P<0.05);胃镜前后状态-特质焦虑量表评分在组间及本组行胃镜前后比较差异均无统计学意义(均P>0.05)。结论:内关穴按压联合揿针能减轻胃镜检查所致恶心、呕吐症状,且不会增加患者的焦虑程度。Objective To explore the clinical effects of acupressure at Nelguan （PC 6） combined with press needles for prevention of gastroscopy-induced nausea and vomiting. Methods One hundred and twenty patients who were scheduled to gastroscopy for the first time were randomly assigned into an acupressure group and a combined treatment group, 60 cases in each one. The patients in the two groups were treated with acupressure at Neiguan （PC 6） 15 rain before gastroscopy; moreover, the patients in the combined treatment group were additionally treated with press needles at Neiguan （PC 6 ） until the end of gastroscopy. The time of gastroscopy-induced nausea and vomiting, VAS-based nausea and vomiting scale and the state-trait anxiety inventory were compared between the two groups. Results The time of gastroscopy-induced nausea and vomiting in the combined treatment group was lower than that in the acupressure group （P〈0.05） ; the score of VAS-based nausea and vomiting scale in the combined treatment group was lower than that in the acupressure group （P〈0.05） ; the state-trait anxiety inventory was not significantly different between the two groups, before and after gastroscopy （all P〉 0. 05）. Conciusion Acupressure at Neiguan （PC 6） combined with press needles can relieve gastroscopy-induced nausea and vomiting without increasing anxiety.

关 键 词：胃镜 恶心呕吐 焦虑 穴位按压 穴位揿针 

分 类 号：R246.1[医药卫生—针灸推拿学]