生姜汁和吴茱萸粉穴位贴敷预防静脉全身麻醉后恶心呕吐的效果观察  

Effect of Acupoint Application of Ginger Juice and Evodia Powder on Preventing Nausea and Vomiting after Intrave⁃nous General Anesthesia

作　　者：董敏思 周杰明 陈艾[1] Dong Minsi;Zhou Jieming;Chen Ai(Department of Anesthesiology,Maoming Maternal and Child Health Hospital,Maoming 525000,Guangdong Province,China)

机构地区：[1]茂名市妇幼保健院麻醉科,广东茂名525000

出　　处：《中外医药研究》2024年第4期107-109,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究生姜汁和吴茱萸粉穴位贴敷预防静脉全身麻醉后恶心呕吐的效果.方法:选取2022年6月—2023年12月茂名市妇幼保健院收治的100例拟行静脉全身麻醉下宫腔镜检查的手术患者作为研究对象,按照随机数字表法分为对照组和观察组,各50例.对照组术前接受昂丹司琼静脉注射,观察组在对照组基础上给予生姜汁和吴茱萸粉穴位贴敷.两组恶心呕吐发生率、恶心呕吐反应程度、中医证候积分、术后补救性抗呕吐药使用情况及满意度比较.结果:术后6、24 h,观察组恶心呕吐发生率低于对照组,差异有统计学意义(P<0.05);术后48、72 h,两组恶心呕吐发生率比较,差异无统计学意义(P>0.05).术后6、24、48、72 h,观察组恶心呕吐程度轻于对照组,差异有统计学意义(P<0.05).观察组食入即吐、恶心呕吐、头晕厌食、呕吐清水评分均低于对照组,差异有统计学意义(P<0.05).两组术后甲氧氯普胺片使用率比较,差异无统计学意义(P>0.05).观察组总满意率高于对照组,差异有统计学意义(P<0.001).结论:静脉全身麻醉下行宫腔镜检查的手术患者接受生姜汁和吴茱萸粉穴位贴敷能够有效预防恶心呕吐症状,减少术后止呕药的使用,进而显著改善临床症状,提高治疗满意度.Objective:To explore the effect of acupoint application of ginger juice and Evodia powder on preventing nausea and vomiting after intravenous general anesthesia.Methods:A total of one hundred patients who were to undergo hysteroscopy under intravenous general anesthesia in Maoming Maternal and Child Health Hospital from June 2022 to December 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with fifty cases in each group.The control group received ondansetron intravenous injection before operation,and the observation group received ginger juice and Evodia powder acupoint application on the basis of the control group.The incidence of nausea and vomiting,the degree of nausea and vomiting reaction,TCM syndrome score,the use of postoperative remedial anti-vomiting drugs and satisfaction of the two groups were compared.Results:At 6 and 24 h after operation,the incidence of nausea and vomiting in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);there was no significant difference in the incidence of nausea and vomiting between the two groups at 48 and 72 h after operation(P>0.05).After 6,24,48,72 h,the nausea and vomiting degree of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).The scores of vomiting,nausea and vomiting,dizziness and anorexia and water vomiting in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the use rate of metoclopramide tablets between the two groups(P>0.05).The total satisfaction rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.001).Conclusion:Acupoint application of ginger juice and Evodia powder in patients undergoing hysteroscopy under intravenous general anesthesia can effectively preve

关 键 词：静脉全身麻醉 生姜 吴茱萸 恶心呕吐 

分 类 号：R614.2[医药卫生—麻醉学]