揿针足三里、内关穴皮内埋置预防腹部手术术后恶心呕吐的临床研究

Clinical study on intradermal thumbtack needle buried in Zusanli and Neiguan acupoints for prevention of nausea and vomiting after abdominal surgery

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.