热敏灸联合耳穴埋豆治疗骨折全麻术后恶心呕吐临床观察

Clinical Observation on Thermosensitive Moxibustion Combined with Auricular Point Pressing in the Treatment of Nausea and Vomiting after General Anesthesia for Fracture

目的 观察热敏灸联合耳穴埋豆治疗骨折全麻术后恶心呕吐(PONV)的临床效果。方法 本研究选取九江市中医医院骨伤科骨折行全麻下手术治疗并发生术后恶心呕吐的住院患者60例。所有病例按入院时床位的奇、偶数随机分组,分观察组、对照组,各30例。2组患者皆常规术中用托烷司琼5 mg预防PONV,发生PONV后,对照组在镇痛泵继续加入托烷司琼10 mg;观察组在对照组处理的基础上,热敏灸中脘、内关、足三里穴,联合耳穴埋豆胃、脾、贲门穴,比较分析2组患者临床疗效。结果 纳入研究的2组患者分别记录术后第1、2、3、4、5日恶心呕吐分度、频数以及是否进一步发生并发症,观察组患者术后第2、3、4日恶心呕吐发生率和分度均低于对照组,差异有统计学意义(P<0.05)。结论 骨折全麻术后发生恶心呕吐患者接受热敏灸联合耳穴埋豆治疗,临床效果明显,有助于术后康复,具有较高的临床应用价值。

Objective To Observe the clinical effect of thermosensitive moxibustion combined with auricular point pressing in the treatment of nausea and vomiting(PONV) after general anesthesia for fracture. Methods In this study, 60 patients with postoperative nausea and vomiting after surgical treatment under general anesthesia were selected. All the patients were randomly divided into observation group and control group according to the odd or even number of beds at admission, with 30 cases in each group. Two groups of patients with conventional operation with tolanisetron 5 mg prevention of PONV, after the onset of POMV, the control group continued to add tolanisetron 10 mg in analgesia pump. The observation group was treated with thermostive moxibustion Zhongwan(RN12), Neiguan(PC6), Zusanli(ST36), combined with auricular point stomach, spleen, cardia point on the basis of the control group. The clinical efficacy of the two groups of patients was analyzed. Results Two groups of patients were recorded Nausea and vomiting degree, frequency after date 1, 2, 3,4,5 degree, frequency and whether further complications, and so on and so forth. The incidence and degree of postoperative nausea and vomiting of observation group of patients on date 2,3,4 was lower than the control group, the difference was statistically significant(P<0.05). Conclusion Thermosensitive moxibustion combined with auricular acupoint pressing therapy for patients with nausea and vomiting after general anesthesia for fracture has obvious clinical effect, which is helpful for postoperative rehabilitation and reduces postoperative complications, and has high clinical application value.