穴位按摩联合揿针预防全麻手术后患者自控镇痛所致恶心呕吐临床研究
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R244.1;R246.5

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Clinical Study on Point Massage Combined with Thumbtack Needle in Prevention of Nausea and Vomiting Induced by Patient-Controlled Analgesia After General Anesthe⁃ sia Surgery
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    摘要:

    目的:观察穴位按摩联合揿针对全麻手术后患者自控镇痛(PCA) 所致恶心呕吐的预防效果。方 法:将96 例全麻手术患者按随机数字表法分成对照组和研究组,每组48 例。2 组术后均予以PCA,对照组给 予常规止吐药物治疗,研究组给予穴位按摩联合揿针治疗。记录2 组首次肛门排气、首次排便及肠鸣音恢复时 间,比较2 组术后24 h、48 h 恶心呕吐发生率及术后恶心呕吐预防满意度。结果:研究组首次肛门排气、首次 排便及肠鸣音恢复时间均短于对照组(P<0.05)。术后24 h、48 h,研究组恶心呕吐发生率分别为35.42%、 16.67%,与对照组50.00%、31.25%比较,差异均无统计学意义(P>0.05)。研究组术后恶心呕吐预防满意度 明显优于对照组,差异有统计学意义(P<0.05)。结论:穴位按摩联合揿针能促进全麻手术后患者胃肠功能恢 复,有效预防PCA 所致恶心呕吐发生。

    Abstract:

    Abstract: Objective: To observe the preventive effect of point massage combined with thumbtack needle on nausea and vomiting induced by patient- controlled analgesia(PCA) after general anesthesia operation. Methods:A total of 96 cases of patients who received general anesthesia surgery were divided into the control group and the study group according to the random number table method,with 48 cases in each group. After the surgery,PCA was performed in the two groups;the control group was treated with conventional antiemetic medicine, and the study group was treated with point massage combined with thumbtack needle. The time of the first anal exhaust,the time of the first defecation and the recovery time of bowel sounds in the two groups were recorded. The incidence of nausea and vomiting, and the satisfaction rates of nausea and vomiting prevention within 24 hours and 48 hours after surgery in the two groups were compared. Results:The time of the first anal exhaust,the time of the first defecation and the recovery time of bowel sounds in the study group were earlier or shorter than those in the control group(P< 0.05). The incidence of nausea and vomiting within 24 hours and 48 hours after surgery was 35.42% and 16.67% respectively,compared with 50.00% and 31.25% in the control group respectively,there being no significance in differences(P>0.05). The satisfaction rate of nausea and vomiting prevention after surgery in the study group was significantly better than that in the control group,the difference being significant(P< 0.05). Conclusion: Point massage combined with thumbtack needle can promote the recovery of gastrointestinal function in patients after general anesthesia operation, and effectively prevent the occurrence of nausea and vomiting induced by PCA.

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蔡雪娇,闵永华,钱新洪.穴位按摩联合揿针预防全麻手术后患者自控镇痛所致恶心呕吐临床研究[J].新中医,2023,55(2):157-159

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  • 在线发布日期: 2023-01-29
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