术后恶心呕吐高危患者无痛肠镜检查中按压内关穴减轻恶心呕吐发生率的体会  

Experience of the Effect of Neiguan Point of Postoperative Nausea and vomiting in Patients with High Risk of Post operative Nausea and Vomiting

作　　者：曲立哲[1] 严赟[1] 王开强[1] 王馨璐[1] 

机构地区：[1]上海中医药大学附属上海市中医医院,上海200071

出　　处：《黑龙江医学》2017年第7期657-658,共2页Heilongjiang Medical Journal

摘　　要：目的探讨按压内关穴对术后恶心呕吐(PONV)高危人群行无痛肠镜检查及对其发生率的影响。方法将240例PONV行无痛肠镜检查的患者随机分为试验A组(简称A组)和试验B组(简称B组),每组患者各120例;同时选取行无痛肠镜检查的普通患者120例为对照C组(简称C组)。B组在操作前15min、10min按压内关穴,观察3组患者检查后2h内的恶心呕吐情况。结果与C组比较,A组恶心呕吐的发生率明显增高;B组恶心呕吐发生率明显低于A组(P<0.05);B组和C组比较,PONV的发生率,差异无统计学意义。结论 PONV高危患者行无痛肠镜检查中,采用按压内关穴的方法,可以降低无痛肠镜检查后恶心呕吐的发生率。Objective To investigate the effect of Neiguan point on postoperative nausea and vomiting in patients with high risk of postoperative nausea and vomiting（ PONV）. Methods 240 cases of PONV patients at high risk of painless colonoscopy（ not smoking,age 20 ~ 50 years old,female） were randomly divided into experimental group A,120 cases and group B,120 cases and 120 patients with painless colonoscopy as the control group C. In the experimental group,B was used for 15 minutes and 10 minutes before operation,and the symptoms of nausea and vomiting were observed within 2 hours after operation in the three groups. Results Compared with C group,the incidence of nausea and vomiting in group A was significantly higher than that in group B（ P〈0. 05）; the incidence of PONV in group B and group C was not significantly different between group A and group B. Conclusion For patients with postoperative nausea and vomiting（ PONV） high risk group of patients undergoing painless colonoscopy by pressing the Neiguan point can reduce the incidence of nausea and vomiting after painless colonoscopy.

关 键 词：术后恶心呕吐 内关穴 无痛肠镜 

分 类 号：R244[医药卫生—针灸推拿学]