压力敏感止吐腕带用于腹腔镜胆囊切除术的作用  

Effects of Pressure Right in Laparoscopic Cholecystectomy

作　　者：穆蕊[1] 余剑波[1] 董树安[1] 李翠[1] 张园[1] 

机构地区：[1]天津市南开医院麻醉科,天津300100

出　　处：《中国中西医结合外科杂志》2017年第4期366-368,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:观察压力敏感止吐腕带对腹腔镜胆囊切除术术后恶心呕吐发生情况的影响。方法:择期拟行腹腔镜胆囊切除术的患者150例,采用随机数字表法分为止吐腕带联合昂丹司琼组(PO组)、昂丹司琼组(O组)和电针刺联合昂丹司琼组(SO组),PO组于麻醉诱导前30 min将止吐腕带压迫双侧内关穴,于术后48 h取下;SO组麻醉诱导前30 min电刺激双侧内关穴;3组均给予昂丹司琼8 mg。观察记录术后即刻(T_0)、12 h(T_1)、24 h(T_2)和48 h(T_3)恶心呕吐发生率和恶心呕吐视觉模拟评分。结果:与O组比较,T_(0~3)时PO组术后恶心呕吐发生率降低[(28%vs 6%、24%vs 8%、20%vs 4%、6%vs 0),P<0.05],T_(0~3)时恶心呕吐评分降低(P<0.05),其中O组恶心呕吐评分为(5.1±1.0)、(3.7±1.0)、(2.6±0.7)、(1.7±0.3),PO组恶心呕吐评分为(2.1±0.7)、(1.9±0.6)、(1.3±0.2)、0;与O组比较,T_(0~2)时SO组术后恶心呕吐发生率降低[(28%vs 8%、24%vs 8%、20%vs6%),P<0.05],SO组恶心呕吐评分降低(P<0.05),其中SO组T_(0~2)时恶心呕吐评分为(1.9±0.9)、(2.0±0.7)、(1.9±0.5)。与PO组比较,T_3时SO组术后恶心呕吐发生率升高(0 vs 2%,P<0.05),T_(2~3)时SO组恶心呕吐评分升高(P<0.05)。结论:压力敏感止吐腕带可减少腹腔镜胆囊切除术术后恶心呕吐的发生率和降低其程度。Objective To observe the incidence of postoperative nausea and vomiting in patients with lapa-roscopic cholecystectomy who accepted Pressure Right stimulation. Methods One hundred and fifty patients, scheduled for elective laparoscopic cholecystectomy, were randomly divided into： pressure right and ondansetron group （group PO）, ondansetron group （group O） and electroacupuncture and ondansetron group （group SO）. Pres-sure Right were placed at Neiguan （PC6） for 30min before induction of anesthesia and continued until 48 hours after surgery in group O. Electroacupuncture stimulation of Neiguan was started 30 min before induction of anes-thesia and continued until the end of surgery in group SO. Ondansetron （8 mg） was given in three groups. The oc-currence of postoperative nausea and vomiting and the scores of Nausea Visual Analog Scale were recorded at the initial time （T0） and12 h（T1）, 24 h（T2） and 48 h（T3） after operation. Results Compared with group O,at T0~3 the incidence of postoperative nausea and vomiting were significantly decreased in group PO [（28% vs 6%, 24% vs 8%, 20% vs 4%, 6% vs 0）, P〈0.05] , the scores of Nausea Visual Analog Scale were significantly de-creased in group PO at T0~3 （P〈0.05）, the scores in group O at T0~3 were [（5.1 ± 1.0）, （3.7 ± 1.0）, （2.6 ± 0.7）, （1.7 ± 0.3）], the scores in group PO at T0~3 were [（2.1±0.7）, （1.9±0.6）, （1.3±0.2）, 0]. Compared with group O, the inci-dence of postoperative nausea and vomiting were significantly decreased at T0~2 in group SO[（28% vs 8%, 24%vs 8%, 20%vs 6%）, P〈0.05], the scores of Nausea Visual Analog Scale were significantly decreased at T0~2 in group SO （P〈0.05）, the scores in group PO at T0~2 were [（1.9±0.9）, （2.0±0.7）, （1.9±0.5）]. Compared with group PO,the incidence of postoperative nausea and vomiting was significantly increased at T3 in group SO （0 vs 2%, P〈0.05）. The scores of Nausea Visual Analog Scale were significantly decreased

关 键 词：压力敏感止吐腕带 术后恶心呕吐 内关穴 

分 类 号：R454.4[医药卫生—治疗学]