降逆止呕中药香囊预防骨关节科腰硬联合麻醉患者术后恶心呕吐的效果观察  

Effects of Traditional Chinese Medicine sachets on preventing postoperative nausea and vomiting in patients undergoing combined spinal epidural anesthesia for bone and joint surgeries

作　　者：莫素莹 范慧婕 梁艳 曾芳芳 谭开意 蔡林春 杨湘薇[7] 倪春燕[7] 吴蓓[7] 林雪梅[7] MO Suying;FAN Huijie;LIANG Yan;ZENG Fangfang;TAN Kaiyi;CAI Linchun;YANG Xiangwei;NI Chunyan;WU Bei;LIN Xuemei(Department of Preventive Treatment of Disease,People's Hospital of Yangjiang,Yangjiang,Guangdong 529500;Health Management Center for Preventive Treatment of Disease,Yongshun County Hospital ofTraditional Chinese Medicine,Yongshun,Hunan,416700;Department of Rehabilitation Medicine,Nanxiong Hospital of Traditional Chinese Medicine,Nanxiong,Guangdong,512400;Department of Thyroid and Breast Surgery,Zhuhai Branch of Guangdong Hospital ofTraditional Chinese Medicine,Zhuhai,Guangdong,519000;Department of Gynecology and Obstetrics,Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang,Guangdong,529500;Nursing clinics.Shenzhen Hospital of Guangzhou University of Chinese Medicine,Guangdong,Jiangsu,518000;Department of Endocrinology,The First Affiliated Hospital of Guangzhou University ofChinese Medicine,Guangzhou,Guangdong,510405)

机构地区：[1]广东省阳江市人民医院治未病科,广东阳江529500 [2]湖南省永顺县中医院治未病健康管理中心,湖南永顺416700 [3]广东省南雄市中医院康复科,广东南雄512400 [4]广东省中医院珠海分院甲乳外科,广东珠海519000 [5]广东省阳江市中医医院妇产科,广东阳江529500 [6]广州中医药大学深圳医院护理门诊,广东深圳518000 [7]广州中医药大学第一附属医院内分泌科,广东广州510405

出　　处：《中西医结合护理》2024年第9期48-54,共7页Chinese Journal of Integrative Nursing

摘　　要：目的探讨降逆止呕中药香囊预防骨科关节腰硬联合麻醉患者术后恶心呕吐(PONV)发生效果。方法将60例腰硬联合麻醉下骨关节术后患者随机分为观察组和对照组,各30例。对照组在常规护理基础上于术后使用柠檬进行嗅闻干预,观察组在常规护理基础上于术后使用降逆止呕香囊进行干预。评估和对比两组术后24 h内恶心呕吐发生率、严重程度以及患者舒适度。结果观察组发生PONV 5(16.67%)例,对照组发生PONV 14(46.67%)例,两组差异有统计学意义(P<0.05)。观察组PONV严重程度较对照组轻,差异有统计学意义(P<0.05)。观察组舒适度评分(66.67±4.71)分,高于对照组(59.16±7.41)分,差异有统计学意义(P<0.05)。结论降逆止呕中药香囊能有效预防骨关节科腰硬联合麻醉术后患者24 h内恶心呕吐,减轻患者症状,提高患者舒适度。Objective To investigate the effect of Traditional Chinese Medicine sachets on preventing postoperative nausea and vomiting in patients undergoing combined spinal epidural anesthesia for bone and joint surgeries.Methods Totally 60 patients undergoing combined spinal epidural anesthesia for bone and joint surgeries were randomly divided into the observation group and control group,with 30 cases in each group.All patients received comprehensive nursing interventions after surgery.The lemon inhalation aromatherapy was used to prevent nausea and vomiting in the control group,while the inhalation aromatherapy with Traditional Chinese Medicine sachets was used in the observation group.Incidence of nausea and vomiting within 24 hours after surgery,degree of nausea and vomiting and patient comfort were measured and compared between groups.Results Within 24 hours after surgery,the incidence of nausea and vomiting was 16.67%(5/30)in the observation group,which was lower than 46.67%(14/30)in the control group,with a significant difference(P<0.05).The severity of postoperative nausea and vomiting in the observation group was less than that in the control group(P<0.05).The score of patient comfort in the observation group was higher than that in the control group(66.67±4.71 vs.59.16±7.41,P<0.05).Conclusion The inhalation aromatherapy with Traditional Chinese Medicine sachets can reduce the incidence and degree of nausea and vomiting within 24 hours,and improve the comfort of patients.

关 键 词：中药香囊 芳香疗法 麻醉 骨科关节手术 术后恶心呕吐 

分 类 号：R473.6[医药卫生—护理学]