中医穴位贴敷法防治腹腔镜全身麻醉术后恶心呕吐的临床分析  

Clinical Analysis of Prevention and Treatment of Nausea and Vomiting after Laparoscopic General Anesthesia with Acupoint Application of Traditional Chinese Medicine

作　　者：姜小燕 陈娟[1] 孟超[1] JIANG Xiaoyan;CHEN Juan;MENG Chao(Department of Anesthesiology,Rudong Hospital of Traditional Chinese Medicine,Rudong,Jiangsu Province,226400 China)

机构地区：[1]如东县中医院麻醉科,江苏如东226400

出　　处：《世界复合医学》2023年第6期142-145,共4页World Journal of Complex Medicine

摘　　要：目的探究中医穴位贴敷法在防治腹腔镜全身麻醉手术后恶心呕吐中的作用。方法选择2021年12月—2022年12月来如东县中医院行全身麻醉后腹腔镜手术患者100例作为研究对象,利用随机数表法分成对照组50例和观察组50例。对照组患者以常规西医方式进行防治,观察组患者则接受中医穴位贴敷法进行防治。分析和观察两组患者治疗12 h后恶心呕吐发生情况以及恶心程度评分、I-FEED评分、腹痛情况、腹胀情况和治疗结果。结果观察组患者于治疗后13~18 h、19~24 h的恶心呕吐发生率明显低于对照组患者,观察组患者恶心程度评分(NVAS)较对照组患者低,观察组治疗后I-FEED评分、腹痛评分、腹胀评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率为96.00%,显著高于对照组的82.00%,差异有统计学意义(χ^(2)=5.005,P<0.05)。结论中医穴位贴敷法对于改善腹腔镜全麻患者术后恶心呕吐情况效果显著,患者手术后24 h内恶心呕吐情况发生较少,防治手段值得推广。Objective To explore the role of traditional Chinese medicine acupoint sticking in the prevention and treatment of nausea and vomiting after laparoscopic general anesthesia.Methods From December 2021 to December 2022,100 patients who underwent laparoscopic surgery after general anesthesia in Rudong Hospital of Traditional Chinese Medicine were selected as the research objects.The appeal patients were divided into the control group of 50 cases and the observation group of 50 cases by random number table method.The patients in the control group were treated with conventional Western medicine,and the patients in the observation group were treated with traditional Chinese medicine acupoint sticking.The incidence of nausea and vomiting after 12 hours of treatment in the two groups was analyzed and observed,as well as the scores of nausea,I-FEED,abdominal pain,abdominal distension and prevention and treatment results after 12 hours.Results The incidence of nausea and vomiting in the observation group was significantly lower than that in the control group at 13-18 hours and 19-24 hours after treatment,the NVAS score of the patients in the observation group was lower than that of the patients in the control group,the IFEED score,abdominal pain score,and abdominal distension score of the observation group were lower than those of the control group after treatment,and the difference was statistically significant(P<0.05).The effective rate of treatment in the observation group was 96.00%,which was significantly higher than 82.00%in the control group,and the difference was statistically significant(χ^(2)=5.005,P<0.05).Conclusion The acupoint sticking method of traditional Chinese medicine has a significant effect on improving postoperative nausea and vomiting in patients with laparoscopic general anesthesia.Nausea and vomiting rarely occurred in patients within 24 hours after operation,and the prevention and treatment methods are worthy of promotion.

关 键 词：腹腔镜 全身麻醉 恶心呕吐 中医穴位贴敷 

分 类 号：R654[医药卫生—外科学]