| 林宣晨.耳穴压豆辅助全麻对妇科腹腔镜术后恶心呕吐发生率及镇痛效果的临床研究[J].浙江中西医结合杂志,2017,27(2): |
| 耳穴压豆辅助全麻对妇科腹腔镜术后恶心呕吐发生率及镇痛效果的临床研究 |
| Clinical study of auricular point sticking assisted anesthesia on incidence of nausea and vomiting and analgesia effect after gynecological laparoscopy |
| 投稿时间：2016-06-25 修订日期：2016-12-05 |
| DOI： |
| 中文关键词: 耳穴压豆 术后恶心呕吐 镇痛 腹腔镜手术 |
| 英文关键词:Auricular point sticking Postoperative nausea and vomiting Analgesia Laparoscopy |
| 基金项目: |
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| 中文摘要: |
| 【摘要】目的 观察耳穴压豆辅助全麻对妇科腹腔镜术后恶心呕吐（PONV）发生率及镇痛效果的影响，为耳穴压豆的围术期应用提供依据。方法 将40例择期全麻下行妇科腹腔镜手术患者随机分为耳穴压豆组、安慰组，每组20例。耳穴压豆组取双耳穴神门、胃、贲门、交感，皮质下，于麻醉开始前30分钟、术毕清醒、术后2、6、24h给以耳豆每个穴位压一分钟，安慰组在相应穴位上黏贴外观相同的胶布。分别记录术毕清醒、术后2、6、24、48h的疼痛视觉模拟量表（VAS）评分及静脉自控镇痛泵（PCIA）的按压次数，术后24h恶心呕吐程度视觉模拟量表（NVAS）评分及PONV发生率、胃复安使用率、患者满意度。结果 耳穴压豆组患者各时间点VAS评分及PCIA按压次数均低于安慰组（P<0.05），术后NVAS评分、PONV发生率及胃复安使用率均低于安慰组（P<0.05），患者满意度高（P<0.05）。结论 耳穴压豆辅助全麻可显著减低妇科腹腔镜术后恶心呕吐发生率、缓解疼痛、减少镇痛药物使用量及提高患者满意度，值得临床推广。 |
| 英文摘要: |
| Abstract Objective To observe the influence of auricular point sticking assisted anesthesia on incidence of nausea and vomiting and analgesia effect after gynecological laparoscopy, and provide evidence for peri-operative application of auricular point sticking. Methods Forty patients of selective gynecological laparoscopy under general anesthesia were randomly divided into auricular point sticking group and placebo group, with each group 20 patients. For auricular point sticking group, the auricular point sticking with vaccaria seeds was applied at Shenmen、Wei、Benmen、Jiaogan and Pizhixia bilaterally 30 min before anesthesia、Anesthesia awake and 2、6、24 h after operation, which were pressed 1 min each point each time. For the placebo group, sticking the same paste as auricular point sticking group at the corresponding points. The pain visual analogue scale(VAS)scores at Anesthesia awake and 2、6、24 h after operation, pressing frequency of patient controlled intravenous analgesia(PCIA), the degree of nausea and vomiting visual analog scale scores 24 h after operation, incidence of postoperative nausea and vomiting (PONV), usage of metoclopramide and degree of satisfaction were recorded respectively. Results The VAS scores at all different time points , frequency of PCIA pressing, the degree of nausea and vomiting visual analog scale(NVAS) scores 24 h after operation, incidence of PONV, usage of metoclopramide and degree of satisfaction in auricular point sticking group were all deceased compared to placebo group(P<0.05). Conclusion Auricular point sticking assisted anesthesia could significantly decrease the incidence of PONV, usage of analgesics, greatly relieve postoperative pain and improve patient satisfaction in patients of gynecological laparoscopy, worth of clinical promotion. |
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