内关穴按压联合右美托咪定在预防小儿斜视矫正术后恶心呕吐的临床观察  

Clinical observation of nèiguān point pressing combined with Dexmedetomidine in preventing nausea and vomiting after strabismus correction surgery in children

作　　者：刘洋[1] 吴浩 谭雷 LIU Yang;WU Hao;TAN Lei(Department of Anesthesiology,the Affiliated Suqian First People’s Hospital of Nanjing Medical University,Jiangsu Province,Suqian 223800,China)

机构地区：[1]南京医科大学附属宿迁市第一人民医院麻醉科,江苏宿迁223800

出　　处：《中国医药导报》2022年第10期115-118,共4页China Medical Herald

基　　金：江苏省妇幼科研项目(F201753)。

摘　　要：目的观察内关穴按压联合右美托咪定在预防小儿斜视矫正术后恶心呕吐的效果。方法选择2018年1月至2021年7月南京医科大学附属宿迁市第一人民医院全麻下行斜视矫正术的90例4~12岁患儿为研究对象。依据随机数字表法分为三组,每组30例。A组入手术室在麻醉诱导前10 min右美托咪定滴鼻;B组麻醉诱导后即刻双侧前臂内关穴放置穴位按压腕带,直至术后24 h;C组入手术室在麻醉诱导前10 min右美托咪定滴鼻,麻醉诱导后即刻双侧前臂内关穴放置穴位按压腕带,直至术后24 h。观察术中眼心反射、使用阿托品、停止牵拉的发生率;记录手术时间;记录术后24 h内恶心、呕吐的发生率及麻醉恢复室(PACU)滞留时间。结果三组术中眼心反射、使用阿托品及停止牵拉的发生率比较,差异无统计学意义(P>0.05)。三组手术时间及PACU滞留时间比较,差异无统计学意义(P>0.05)。C组恶心、呕吐的发生率低于A、B组,差异有统计学意义(P<0.017)。结论内关穴按压联合右美托咪定预处理,可有效降低术后恶心呕吐的发生率,为斜视患儿提供安全舒适的医疗保障。Objective To observe the effect of nèiguān point pressing combined with Dexmedetomidine in preventing nausea and vomiting after strabismus correction surgery in children.Methods A total of 90 cases of strabismus correction surgery under general anesthesia in the Affiliated Suqian First People’s Hospital of Nanjing Medical University from January 2018 to July 2021 were selected as research objects.According to the random number table method,they were divided into three groups,with 30 cases in each group.In group A,Dexmedetomidine was given nasal drops in the operating room 10 min before induction of anesthesia;in group B,acupressure wrist bands were placed at nèiguān point on both forearms immediately after anesthesia induction until 24 h after surgery;in group C,Dexmedetomidine was given nasal drops in the operating room 10 min before anesthesia induction,and acupressure wrist bands were placed at nèiguān point on both forearms immediately after anesthesia induction until 24 h after surgery.The incidence of intraoperative ocardial reflex,Atropine use and traction cessation were observed;operation time was recorded;the incidence of nausea and vomiting 24 h after surgery and the duration of postanesthesia care unit(PACU)were recorded.Results There were no significant differences in the incidence of intraoperative ocardial reflex,Atropine use and traction cessation among three groups(P>0.05).There were no significant differences in operation time and the duration of PACU among three groups(P>0.05).The incidence of nausea and vomiting in group C were lower than that in group A and B,and the differences were statistically significant(P<0.017).Conclusion Nèiguān point pressing combined with Dexmedetomidine pretreatment can effectively reduce the incidence of postoperative nausea and vomiting and provide safe and comfortable medical guarantee for strabismus children.

关 键 词：内关穴 斜视手术 右美托咪定 恶心呕吐 

分 类 号：R614[医药卫生—麻醉学]