薄荷醇穴位敷贴防治消化道肿瘤患者围术期口渴疗效观察  

Effect of menthol acupoint application on prevention and treatment of perioperative thirst in patients with gastrointestinal cancer

作　　者：常小兰[1] 刘思兰[1] 奚冰[1] 桂林 陆香红[1] CHANG Xiao-lan;LIU Si-lan;XI Bing;GUI Lin;LU Xiang-hong(Department of Anesthesiology,Pingjiang Branch of the First Affiliated Hospital of Soochow University,Suzhou 215006,Jiangsu,CHINA)

机构地区：[1]苏州大学附属第一医院平江院区麻醉手术科

出　　处：《海南医学》2020年第4期442-445,共4页Hainan Medical Journal

基　　金：国家自然科学基金(编号：81471835);江苏省医学创新团队(编号：CXTDA2017043)

摘　　要：目的观察薄荷醇穴位敷贴防治消化道肿瘤患者围术期口渴的疗效。方法将2017年1月至2018年12月期间苏州大学附属第一医院收治的120例在全麻下行手术根治术的ASA分级为Ⅰ~Ⅱ级的消化道肿瘤患者采用随机数表法分为对照组(C组,n=60)和实验组(S组,n=60),患者在术晨6 h将薄荷醇贴(S组)或者空白胶布(C组)贴于指定穴位处(照海、水泉和廉泉)。分别记录两组患者入手术室(T1)、出麻醉恢复室(PACU)(T2)、术后6 h (T3)、术后12 h (T4)和术后24 h (T5)的口渴评分,并计算口渴发生率,同时测量拔除气管导管时从患者咽喉部吸引出的痰液量以及痰液的pH值。结果从T1开始至T5时,C组患者的口渴评分明显高于S组,组间比较差异均有统计学意义(P<0.05);从T2开始至T5,C组患者的口渴评分明显高于T1时,组内比较差异均有统计学意义(P<0.05);从T3开始至T5时,S组患者口渴评分明显高于T1时,组内比较差异均具有统计学意义(P<0.05)。从T1开始至T5时,C组患者的口渴发生率明显高于S组,组间比较差异均具有统计学意义(P<0.05);从T3开始至T5时,C组患者的口渴发生率显著降低,组内比较差异具有统计学意义(P<0.05);T4和T5时S组患者的口渴发生率显著降低,组内比较差异有统计学意义(P<0.05)。两组患者拔管时有痰率、痰液量和痰液的pH值比较差异均无统计学意义(P>0.05)。结论术晨即给予患者薄荷醇穴位贴敷可有效降低消化道肿瘤患者围术期口渴的发生率,并显著降低其口渴的严重程度,这种安全、便捷、有效且持久的防治口渴的方法值得临床推广应用。Objective To investigate the effect of menthol acupoint application on prevention and treatment of perioperative thirst in patients with gastrointestinal cancer. Methods From January 2017 to December 2018, 120 gastrointestinal cancer patients with ASA grade Ⅰ ~ Ⅱ who underwent general anesthesia were divided into control group(group C, n=60) and experimental group(group S, n=60) according to the random number table method. At 6 o’clock in the morning before surgery, the patient applied menthol acupoint tape(group S) or blank tape(group C) to the designated acupoints(Zhaohai, Shuiquan, and Lianquan). The thirst scores of two groups were recorded when the patients entered the operating room(T1), when they left the post anesthesia care unit(PACU)(T2), at 6 h(T3), 12 h(T4), and 24 h(T5) after surgery, and the incidence of thirst was calculated. At the same time, the amount and pH of the sputum drawn from the patient’s throat were measured when the tracheal tube was removed. Results From T1 to T5, the thirst score was significantly higher in group C than in group S(P<0.05). From T2 to T5, the thirst score of group C was significantly higher than that at T1(P<0.05). From T3 to T5, the thirst score of group S was significantly higher than that at T1(P<0.05).From T1 to T5, the incidence of thirst was significantly higher in group C than in group S(P<0.05). From T3 to T5, the incidence of thirst in group C was significantly reduced(P<0.05). The incidence of thirst in group S was significantly reduced at T4 and T5(P<0.05). There was no significant difference in the production rate, amount, and pH of sputum between the two groups during extubation(P>0.05). Conclusion Applying a menthol acupoint application to patient early in the morning before surgery can effectively reduce the incidence of perioperative thirst and significantly reduce the severity of thirst in patients with gastrointestinal cancer. This safe, convenient, effective and durable method for the prevention and treatment of thirst is worthy of clinical

关 键 词：薄荷醇贴 消化道肿瘤 围术期 口渴 疗效 

分 类 号：R735[医药卫生—肿瘤]