第二掌骨侧疗法对防治硬膜外阻滞下内脏牵拉反应及术后胃肠功能恢复的影响

Effects of The Second Metacarpal Bone Lateral Therapy on Prevention and Treatment of Traction of Viscera under Peridural Blockage and Postoperative Recovery of Gastrointestinal Function

选择ASAⅠ～Ⅱ级硬膜外麻醉下 ,行妇科乙类手术 3 6例 ,患者无胃肠、肝、胆疾病。随机分为 3组。分别采用不同的方法防治硬膜外阻滞下内脏牵拉反应 ,并观察对术后胃肠功能恢复的影响。结果 :第二掌骨侧疗法结合药物注射法 ,在患者清醒状态下可有效预防牵拉反应 ,对防治术后吗啡椎管内止痛引起的恶心、呕吐及缩短肠排气时间有效 ,可以减少镇静、镇痛剂用量 ,安全性高 ,利于术后恢复。

cases who were performed gynecologic class B operation under ASA I～Ⅱ grade peridural anesthesia and did not have diseases of the stomach,intestine,liver and gallblader,were randomly divided into 3 groups.They were treated with different methods for prevention and treatment of traction response of viscera under peridural blockage,and the effect of different methods on postoperative recovery of gastrointestinal function was investigated.The results indicated that the second metacarpal bone lateral therapy combined with medicine injection can effectively prevent traction response of vescera in conscious patients,and it was effective in prevention and treatment of postoperative nausea,and vomiting induced by intravertebral anesthesia of morphine,and shortening the time of exsufflation from the intestine;It could reduce dosage of sedative and analgesic,with high safty and beneficial to recovery. [WT5”HZ]