叶强晴 郭建邦 李晓彬 潘航 陈学思

【摘要】 目的：觀察新型揿针联合穴位贴敷预防全麻手术术后患者恶心呕吐的效果。方法：选取2020年1月-2021年3月于本院行骨科全麻手术患者185例作为研究对象，随机分为试验组（n=95）和对照组（n=90）。术后2 h，对照组给予地塞米松注射液静脉注射，观察组给予新型揿针联合穴位贴敷。观察并对比两组术后不同时间恶心、呕吐的发生情况;对比两组术后48 h生活质量和对预防术后恶心呕吐的满意情况。结果：试验组术后6、12、24 h恶心发生率分别为0、0、1.1%均低于对照组的8.9%、7.8%、7.8%（P<0.05）;试验组术后6、12、24 h呕吐发生率为0、1.1%、0均低于对照组的10.0%、8.9%、7.8%（P<0.05）。试验组术后48 h的生活质量评分为（85.2±3.6）分高于对照组的（68.4±4.5）分（P<0.05）。试验组对预防术后恶心呕吐的满意率为97.9%（93/95）高于对照组的81.1%（73/90），差异有统计学意义（P<0.05）。结论：新型揿针联合穴位贴敷预防术后恶心呕吐的效果显著，患者满意度高，值得临床推广应用。

【关键词】 新型揿针 穴位贴敷 全麻手术 恶心呕吐

Prevention of Nausea and Vomiting after General Anesthesia Surgery by New Type of Screw Needle Combined with Acupoint Application/YE Qiangqing， GUO Jianbang， LI Xiaobin， PAN Hang， CHEN Xuesi. //Medical Innovation of China， 2021， 18（29）： -107

[Abstract] Objective： To observe the effect of preventing nausea and vomiting after general anesthesia surgery by using new type of pressing needle combined with acupoint application. Method： A total of 185 patients underwent orthopedic general anesthesia surgery in our hospital from January 2020 to March 2021 were selected as the study subjects and randomly divided into experimental group （n=95） and control group （n=90）. 2 h after surgery， the control group was given intravenous Dexamethasone Injection， and the observation group was given new type of pressing needle combined with acupoint application. The incidence of nausea and vomiting at different time after operation was observed and compared between the two groups. The quality of life at 48 h after operation and the satisfaction of preventing postoperative nausea and vomiting were compared between the two groups. Result： The incidences of nausea at 6， 12， 24 h after operation in experimental group were 0， 0， 1.1%， which were lower than 8.9%， 7.8%， 7.8% in control group （P<0.05）. The incidences of vomiting in experimental group 6， 12， 24 h after operation were 0， 1.1%， 0， which were lower than 10.0%， 8.9%， 7.8% in control group （P<0.05）. The quality of life score at 48 h after operation in experimental group was （85.2±3.6） points higher than （68.4±4.5） points in control group （P<0.05）. The satisfaction rate of the experimental group to prevent postoperative nausea and vomiting was 97.9% （93/95）， which was higher than 81.1% （73/90） of the control group， the difference was statistically significant （P<0.05）. Conclusion： The new type of pressing needle combined with acupoint application has remarkable effect on preventing postoperative nausea and vomiting， with high patient satisfaction and worthy of clinical application.

[Key words] New type of pressing needle Acupoint application General anesthesia Nausea and vomiting

First-author’s address： Meizhou Hospital of Traditional Chinese Medicine， Meizhou 514000， China

doi：10.3969/j.issn.1674-4985.2021.29.025

全麻手术之后发生恶心呕吐（PONV）是骨科患者术后颇为常见的并发症，发生率在20%～30%，这与患者的个人因素、手术方式、麻醉情况及药品耐受具有很大关系[1-3]。有研究表明穴位敷贴治疗术后恶心呕吐的效果显著[3]。本院为了寻求有效缓解全麻术后恶心呕吐的方法，选取部分骨科全麻手术患者作为对象进行分组对照研究，现报道如下。

1 资料与方法

1.1 一般资料 选取2020年1月-2021年3月于本院行骨科全麻手术患者185例作为研究对象，纳入标准：骨科全麻手术患者;术前1个月内未接受止吐药物和阿片类药物者;术中出血量不超过400 mL，术后血红蛋白不超过90 g/L。……