针刺内关复合指揉按压法在急诊剖宫产恶心呕吐中的应用——附43例临床资料分析

Effect of Acupuncture Neiguan (PC6) Combined with Finger Knead and Acupressure Method on the Nausea and Vomiting of Exigency Caesarean Section Patients

目的观察针刺内关复合穴位指揉按压法对急诊剖宫产术中恶心呕吐的治疗效果。方法将ASA I～II 216例急诊剖宫产手术患者随机分为针刺指揉组(AF,n=43)、恩丹西酮组(OH,n=43)、甲氧氯普胺组(MP,n=43)、氟哌利多组(DR,n=43)及生理盐水组(NS,n=44),采用腰-硬联合阻滞麻醉或连续硬膜外麻醉,术毕实施术后镇痛。结果 AF组、OH组、MP组与DR组VAS评分基本相当,与NS组比较差异显著;各实验组之间比较无明显差异,表明AF组、OH组、MP组及DR组疗效相同。结论针刺内关复合指揉按压法在防治急诊剖宫产恶心呕吐中,适用于术中轻度恶心呕吐;而甲氧氯普胺和恩丹西酮更适于程度较重的恶心呕吐;氟哌利多抗恶心呕吐的作用时间相对较长。

Objective： To observe the effect of acupuncture Neiguan（PC6） combined with finger knead and acupressure method on the nausea and vomiting of exigency caesarean section patient.Methods： 216 patients of exigency caesarean section which were anaesthesia by combined spinal-epidural anaesthesia or epidural anesthesia were randomly divided into the finger kneads group（AF,n = 43）,the ondansetron hydrochloride group（OH,n = 43）,the metoclopramide group（MP,n = 43）,the droperidol group（DR,n = 43） and the choloride injection group（NS,n = 44）,were administratered under combined spinal-epidural anesthesia or epidural anesthesia.All groups was administratered PCEA.Results： VAS scores which were statistical differences compared with the NS gruops were similar in the AF group,the OH group,the MP group and the DR group.The effect of the AF group,the OH group,the MP group and the DR group were similar.Conclusion： AF group could prevent and treat the slight nausea and vomiting of these exigency caesarean section.The MP group and the OH group could be used in the deep nausea and vomiting.The DR group could be prevented the nausea and vomiting in relative long time.