姜粉贴敷内关穴联合托烷司琼预防妇科腔镜术后恶心呕吐临床研究  

Clinical Study on Applying Ginger Powder to Neiguan(PC6)Point Combined with Tropisetron in Preventing Nausea and Vomiting After Gynecological Laparoscopy

作　　者：王舜[1] 倪燕华 WANG Shun;NI Yanhua(Zhejiang Provincial Hospital of Integrated Traditional Chinese and Western Medicine(Hangzhou Red Cross Hospital),Hangzhou Zhejiang 310003,China)

机构地区：[1]浙江省中西医结合医院/杭州市红十字会医院,浙江杭州310003

出　　处：《新中医》2025年第1期167-171,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2022ZA125)。

摘　　要：目的:观察姜粉贴敷内关穴联合托烷司琼预防妇科腔镜患者术后恶心呕吐(PONV)的疗效。方法:选取2022年1月—2023年6月杭州市红十字会医院收治的72例妇科腔镜治疗患者,按随机数字表法分为对照组及观察组各36例。术后给予对照组盐酸托烷司琼注射液,观察组在对照组基础上给予姜粉贴敷内关穴。比较2组PONV发生率及首次PONV时间、术后PONV发生频次、PONV发生等级,比较2组手术前后焦虑、抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[生活质量评定量表(SF-36)]的变化。结果:对照组25例PONV,发生率为69.44%(25/36);观察组16例PONV,发生率为44.44%(16/36),2组PONV发生率比较,差异有统计学意义(P<0.05)。观察组术后首次PONV时间较晚,各时段PONV发生频次小于对照组(P<0.05)。术后8 h、术后24 h、术后48 h随着时间进展,2组PONV等级逐渐降低(P<0.05),观察组各时间段PONV等级均低于对照组(P<0.05)。2组术后48 h的DA、NE均较术前升高(P<0.05),组间对比均无差异(P>0.05)。术后48 h,2组SAS、SDS评分均较术前下降(P<0.05),观察组SAS、SDS评分均低于对照组(P<0.05)。术后48 h,2组SF-36评分均较术前上升(P<0.05),观察组SF-36评分高于对照组(P<0.05)。结论:姜粉贴敷内关穴联合托烷司琼用于预防妇科腔镜PONV,可降低PONV发生率、推迟首次PONV时间,减轻PONY发生频数及程度,有助于缓解患者焦虑、抑郁情绪,提高术后生活质量。Objective:To observe the curative effect of applying ginger powder to Neiguan(PC 6)point combined with Tropisetron in preventing postoperative nausea and vomiting(PONV)after gynecological laparoscopy.Methods:A total of 72 cases of patients treated with gynecological laparoscopr at Hangzhou Red Cross Hospital from January 2022 to June 2023 were selected and divided into the control group and the observation group according to the random number table method,with 36 patients in each group.After surgery,the control group was given Tropisetron Hydrochloride Injection,while the observation group was additionally given ginger powder patch on the Neiguan(PC 6)point on the basis of the control group.Compared the PONV incidence,the time of first PONV,the frequency of postoperative PONV occurrence,and the degree of PONV occurrence between the two groups.Compared the changes in anxiety,depression[Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)],and quality of life[36-Item Short Form Health Survey(SF-36)]before and after surgery between the two groups.Results:The control group consisted of 25 cases of PONV,with an incidence rate of 69.44%(25/36);the observation group consisted of 16 cases of PONV,with an incidence rate of 44.44%(16/36);there was significant difference in the incidence rates of PONV between the two groups(P<0.05).The observation group had a later onset of postoperative PONV,and the frequency of PONV occurrence in each time period was lower than that in the control group(P<0.05).As time progressed,the PONV levels in both groups were gradually decreased(P<0.05)at 8 hours,24 hours,and 48 hours after surgery.The PONV degree in the observation group were lower than those in the control group at all time points(P<0.05).The DA and NE levels in both groups were increased at 48 hours after surgery compared to the preoperative levels(P<0.05),and there was no significant difference between the two groups(P>0.05).At 48 hours after surgery,both groups showed a decrease in SAS and SDS scores compared to

关 键 词：妇科腔镜手术 恶心呕吐 姜粉 贴敷 托烷司琼 

分 类 号：R614[医药卫生—麻醉学]