穴位埋线疗法预防甲状腺全麻术后恶心呕吐的临床研究

Clinical study on the postoperative nausea and vomiting prevention of catgut implantation therapy in patients after general anesthesia of thyroid gland

目的探讨内关穴和足三里穴位埋线用于预防甲状腺全麻术后恶心呕吐(PONV)的效果和安全性,为制订更有效的临床治疗方案提供依据。方法选择2015年7月~2016年7月在浙江中医药大学附属温州市中医院择期行甲状腺手术的患者80例,按照随机数字表法分为药物组(C组)和穴位埋线+药物组(D组),每组各40例。C组采用阿扎司琼联合地塞米松预防PONV,D组在药物组基础上给予内关穴和足三里经穴位埋线。比较两组急性期和延长期PONV发生率。结果 D组急性期PONV发生率和延长期PONV发生率均明显低于C组,差异均有统计学意义(P<0.05)。结论内关穴和足三里穴位埋线能有效预防全麻后甲状腺PONV,值得临床推广应用。

Objective To investigate the efficacy and safety of catgut implantation at Neiguan and Zusanli acupoint on prevention of postoperative nausea and vomiting（PONV） after general anesthesia of thyroid gland, so as to provide evidence for clinical treatment. Methods From July 2015 to July 2016, 80 patients underwent elective thyroid surgery in Wenzhou Traditional Chinese Medical Hospital, Affiliated to Zhejiang Chinese Medical University were selected and divided into the drug group（group C） and the catgut implantation point＋drug group（group D） according to the random number table, with 40 cases in each group. Group C was treated with Azasetron combined with dexamethasone and group D was treated with catgut implantation therapy at Neiguan and Zusanli acupoint on the bases of drug group. The incidences of PONV at the time of acute and prolonged periods were compared between the two groups. Results The incidences of acute and prolonged periods in the group D were lower than those of group C, with statistically signicant differences（P〈0.05）. Conclusion Catgut implantation at Neiguan and Zusanli acupoint can effectively prevent PONV after general anesthesia. It is worthy of clinical promotion and application.