揿针预防妇科腹腔镜术后恶心呕吐的临床效果研究

Clinical Effect of Acupuncture Needle on Prevention of Nausea and Vomiting after Gynecological Laparoscopy

目的:探讨揿针疗法预防妇科腹腔镜术后恶心呕吐的效果。方法:选取2019年3-6月福建中医药大学附属第二人民医院收治的腹腔镜下妇科手术住院患者100例,随机分为治疗组和对照组,每组50例。术后返回病房后,治疗组给予合谷、内关穴贴揿针治疗,对照组给予常规护理方法。对两组术后当天和术后第2天恶心呕吐发生情况、干预总满意率及生活质量进行对比。结果:治疗组术后当天恶心呕吐发生率低于对照组,差异有统计学意义(P<0.05),两组术后第2天恶心呕吐发生率比较差异无统计学意义(P>0.05);治疗组干预总满意率高于对照组,各项生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。结论:揿针可有效预防妇科腹腔镜术后恶心呕吐,促进患者术后康复,值得临床推广。

Objective:To explore the clinical effect of acupuncture needle therapy on prevention of nausea and vomiting after gynecological laparoscopy.Method:A total of 100 patients admitted to the Second People’s Hospital affiliated to Fujian University of Traditional Chinese Medicine from March to June 2019 were selected,and they were randomly divided into the treatment group and the control group,50 cases in each group.After returning to the ward after surgery,the treatment group was given Hegu and Neiguan acupoints with acupuncture needle therapy,and the control group was given routine nursing methods.The incidence of nausea and vomiting on the postoperative day and the second day after operation,total satisfaction rate of intervention and quality of life score index were compared between the two groups.Result:The incidence of nausea and vomiting on the postoperative day in the treatment group was lower than that in the control group,the difference was statistically significant (P<0.05),there was no significant difference in the incidence of nausea and vomiting on the second day after operation between the two groups (P>0.05).The total satisfaction rate of intervention in the treatment group was higher than that in the control group,and all life quality scores were higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion:Acupuncture needle can effectively prevent nausea and vomiting after gynecological laparoscopic surgery,promote postoperative rehabilitation of patients,worthy of clinical promotion.