摘要
目的观察揿针埋针双侧足三里联合内关穴预防腹部手术术后恶心、呕吐的临床疗效。方法 160例择期腹部手术患者随机数字表法分为揿针组和对照组,每组80例(n=80)。两组患者均采用七氟烷吸入复合瑞芬太尼维持麻醉。术前30 min,揿针组患者给予双侧足三里、内关穴贴揿针,对照组患者双侧相同穴位贴假治疗片。观察两组患者在术后48 h过程中恶心、呕吐的反应。结果揿针组患者术后恶心、呕吐程度较对照组均显著降低(P<0.05)。结论揿针针刺双侧足三里、内关穴能显著减轻腹部手术术后恶心、呕吐发生率。
Objective To observe the clinical effect of bilateral intradermal thumbtack needle buried in Zusanli and Neiguan acupoints on nausea and vomiting in abdominal surgery patients.Methods A total of 160 patients receiving abdominal surgery were randomly divided into two groups:thumbtack needle group(group T,n=80)and sham group(group S,n=80).Both groups were anesthetized with sevoflurane-remifentanil combined anesthesia.At 30 min before surgery,the patients of group T underwent acupuncture treatment on bilateral Zusanli and Neiguan acupoints,and patients of group S were given sham treatment patches on the same acupoints.Nausea and vomiting responses were recorded within postoperative 48 h.Results Compared with the group S,the group T showed decreased postoperative nausea and vomiting degrees(P<0.05).Conclusion Applying intradermal thumbtack needle on Zusanli and Neiguan acupoints at 30 min before surgery can significantly reduce the incidence rate of nausea and vomiting after abdominal surgery.
作者
张瑜
彭生
刘佩蓉
师小伟
刘春亮
刘奇
李燕玲
ZHANG Yu;PENG Sheng;LIU Peirong;SHI Xiaowei;LIU Chunliang;LIU Qi;LI Yanling(Department of Anesthesiology,Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China)
出处
《外科研究与新技术》
2017年第4期268-270,共3页
Surgical Research and New Technique
基金
上海市浦东新区卫生系统学科带头人培养计划(PWRd2016-19)
上海市浦东新区卫生系统学科带头人培养计划(PWRd2016-17)
上海市卫计委中医药科研基金项目(2014LP029B)
关键词
揿针
足三里
内关
恶心
呕吐
Thumbtack needle
Zusanli acupoint
Neiguan acupoint
Nausea
Vomiting