中药热奄包治疗妇科腹腔镜术后患者恶心呕吐的临床研究  

Clinical Study of Traditional Chinese Medicine Hot Package in the Treatment of Nausea and Vomiting after Gynecological Laparoscopic Surgery

作　　者：叶春杰 吴花 罗星子 YE Chunjie;WU Hua;LUO Xingzi(Department of Obstetrics and Gynecology,Yingtan Hospital of Traditional Chinese Medicine,Yingtan 335099,China;不详)

机构地区：[1]鹰潭市中医院妇产科,江西鹰潭335099 [2]鹰潭市中医院针灸科,江西鹰潭335099

出　　处：《中国医学创新》2024年第36期124-128,共5页Medical Innovation of China

基　　金：鹰潭市科技计划项目(2023-9-33082)。

摘　　要：目的:探究中药热奄包治疗妇科腹腔镜术后患者恶心呕吐的临床效果。方法:选择2023年3月—2024年3月鹰潭市中医院妇产科收治的在全麻下行腹腔镜手术术后恶心呕吐患者60例,按随机数字表法分为对照组与观察组,各30例。对照组予以盐酸昂丹司琼治疗,观察组在对照组基础上予以中药热奄包治疗。比较两组术后恶心呕吐评分、主观舒适度、睡眠质量、临床疗效、不良反应。结果:两组麻醉清醒后恶心呕吐评分、主观舒适度评分对比,差异均无统计学意义(P>0.05);治疗后2、4、6 h,观察组恶心呕吐评分[(1.51±0.22)、(1.12±0.15)、(0.76±0.11)分]均较对照组低,视觉模拟评分法(VAS)评分[(4.63±0.72)、(3.37±0.35)、(1.75±0.23)分]均较对照组低(P<0.05);两组麻醉清醒后睡眠质量对比,差异均无统计学意义(P>0.05);观察组治疗后48 h匹兹堡睡眠质量指数(PSQI)中睡眠质量(1.18±0.11)分、入睡时间(0.83±0.12)分、睡眠时间(1.02±0.11)分、睡眠效率(1.22±0.11)分、睡眠障碍(1.03±0.10)分、催眠药物(1.03±0.11)分、日间功能(0.93±0.12)分均较对照组低(P<0.05);观察组治疗总有效率(93.33%)较对照组(73.33%)高(P<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论:增加中药热奄包治疗妇科腹腔镜术后患者可有效减轻恶心呕吐症状,提高主观舒适度,改善睡眠质量,且不良反应少。Objective:To explore the clinical effect of traditional Chinese medicine hot package in the treatment of nausea and vomiting in patients after gynecological laparoscopic surgery.Method:Sixty patients with nausea and vomiting after laparoscopic surgery under general anesthesia admitted to the Department of Gynecology and Obstetrics of Yingtan Hospital of Traditional Chinese Medicine from March 2023 to March 2024 were selected and divided into control group and observation group according to random number table method,with 30 cases in each group.The control group was treated with Ondansetron Hydrochloride,while the observation group was treated with traditional Chinese medicine hot package on the basis of the control group.The postoperative nausea and vomiting score,subjective comfort,sleep quality,clinical efficacy and adverse reactions were compared between the two groups.Result:There were no statistically significant differences in nausea and vomiting scores and subjective comfort scores between the two groups after anesthesia awakening(P>0.05).At 2,4,6 h after treatment,the nausea and vomiting scores[(1.51±0.22),(1.12±0.15),(0.76±0.11)scores]of the observation group were lower than those of the control group,and the visual analogue scale(VAS)scores[(4.63±0.72),(3.37±0.35),(1.75±0.23)scores]were lower than those of the control group(P<0.05).There were no significant differences in sleep quality between the two groups after anesthesia awakening(P>0.05).The sleep quality[(1.18±0.11)scores],falling asleep time[(0.83±0.12)scores],sleep time[(1.02±0.11)scores],sleep efficiency[(1.22±0.11)scores],sleep disorders[(1.03±0.10)scores],hypnotic drugs[(1.03±0.11)scores],daytime function[(0.93±0.12)scores]in the Pittsburgh sleep quality index(PSQI)of the observation group at 48 h after treatment were lower than those of the control group(P<0.05).The total effective rate of observation group(93.33%)was higher than that of control group (73.33%) (P<0.05). There was no significant difference in the incidence of adv

关 键 词：妇科腹腔镜手术 恶心呕吐 中药热奄包 主观舒适度 睡眠质量 

分 类 号：R713[医药卫生—妇产科学]