芳香疗法用于妇科恶性肿瘤患者术后恶心呕吐的效果研究

Efficacy of aromatherapy for postoperative nausea and vomiting in patients with malignant gynecologic tumors

目的探讨芳香疗法缓解妇科恶性肿瘤术后患者恶心呕吐的效果。方法选取2019年1月至2019年8月间中国医学科学院肿瘤医院收治的行手术治疗的202例妇科恶性肿瘤患者,按病房号奇偶数随机分为试验组(102例)和对照组(100例)。对照组患者采用常规护理,试验组患者在常规护理基础上采用嗅柠檬香氛作为芳香疗法进行干预,比较两组患者手术完毕返回病房后2、6、12和24h恶心呕吐发生率及中、重度恶心呕吐(PONV)发生率。结果两组患者术后、2、6、12和24h疼痛程度比较,差异均无统计学意义(P> 0.05)。术后返回病房,两组患者6、12和24h的PONV发生率比较,6h和12h中、重度PONV发生率比较,差异均有统计学意义(均P <0.05)。试验组患者未观察到有不良反应。患者对柠檬气味主观感受好,接受程度高,满意度98.0%(100例),希望继续使用率98.0%。结论以嗅柠檬气味作为芳香疗法,可有效缓解妇科恶性肿瘤患者全麻手术后的恶心呕吐。

Objective The aim of this study is to discuss the efficacy of aromatherapy in relieving postoperative nausea and vomiting( PONV) among gynecologic cancer patients. Methods Two hundred and two pateints who underwent surgery for malignant gynecologic tumors at Cancer Hospital,Chinese Academy of Medical Sciences were selected from January 2019 to August 2019. They were divided into an experiment group( 102 patients) and a control group( 100 patients). The experiment group was given aromatherapy with lemon fragrance on the basis of conventional nursing and the control group was only given conventional nursing. The incidence of nausea and vomiting and the incidence of severe nausea and vomiting were compared between the two groups at 2 h,6 h,12 h and 24 h after the surgery. Results There was no significant difference in pain at 2 h,6 h,12 h and 24 h after the surgery. There were significant differences in the incidence of PONV at 6 h,12 h and 24 h after the surgery and in the incidence of severe PONV at 6 h and 12 h after the surgery( all P < 0. 05). No adverse reactions was observed in the experiment group. Patient acceptance of lemon fragrance was high and patient satisfaction was 98. 0%( 100 patients). 98. 0%patients hoped this therapy was continued. Conclusion Aromatherapy with lemon fragrance can effectively relieve postoperative nausea and vomiting among gynecology cancer patients.