持续输注利多卡因注射液联合颊针对降低腹腔镜全子宫切除术患者术后PONV发生率的影响

Effect of Continuous Infusion of Lidocaine Injection Combined with Buccal Acupuncture on Reducing the Incidence of PONV in Patients Undergoing Laparoscopic Total Hysterectomy

目的研究持续输注利多卡因注射液联合颊针对降低腹腔镜全子宫切除术患者术后恶心呕吐(PONV)发生率的影响。方法选取2022年5月-2023年8月我院接诊并收治行腹腔镜全子宫切除手术的72例患者为研究对象,两组均采用气管插管全麻,采用随机数字表法分为对照组(36例)和观察组(36例),对照组给予常规麻醉诱导,观察组麻醉诱导前给予颊针+持续输注利多卡因注射液。比较两组不同时间点恶心呕吐发生情况、舒适度评分(NVAS)、首次排气和排便时间、不良反应发生情况及治疗满意度。结果观察组麻醉苏醒期、术后2 h、术后6 h、术后12 h恶心呕吐发生率均低于对照组(P<0.05);观察组麻醉苏醒期、术后2 h、术后6 h、术后12 h的NVAS评分均低于对照组(P<0.05);观察组首次排气、排便时间均短于对照组(P<0.05);观察组不良反应发生率与对照组比较,差异无统计学意义(P>0.05);观察组治疗满意度高于对照组(P<0.05)。结论持续输注利多卡因注射液联合颊针可有效降低腹腔镜全子宫切除术患者术后PONV发生率,提高患者治疗满意度,缩短胃肠功能恢复时间,改善患者舒适度,值得临床应用。

Objective To study the effect of continuous infusion of lidocaine injection combined with buccal acupuncture on reducing the incidence of postoperative nausea and vomiting(PONV)in patients undergoing laparoscopic total hysterectomy.Methods A total of 72 patients who underwent laparoscopic total hysterectomy in our hospital from May 2022 to August 2023 were selected as the research objects.Both groups were given tracheal intubation general anesthesia.They were divided into control group(36 patients)and observation group(36 patients)by random number table method.The control group was given routine anesthesia induction,and the observation group was given buccalneedle+continuous infusion of lidocaine injection before anesthesia induction.The incidence of nausea and vomiting at different time points,comfort score(NVAS),first exhaust and defecation time,adverse reactions and treatment satisfaction were compared between the two groups.Results The incidence of nausea and vomiting in the observation group was lower than that in the control group during anesthesia recovery period,2 h,6 h and 12 h after operation(P<0.05).The NVAS score of the observation group was lower than that of the control group during the anesthesia recovery period,2 h after operation,6 h after operation and 12 h after operation(P<0.05).The first exhaust and defecation time of the observation group were shorter than those of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P>0.05).The treatment satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Continuous infusion of lidocaine injection combined with buccal acupuncture can effectively reduce the incidence of PONV after laparoscopic total hysterectomy,improve patient satisfaction,shorten the recovery time of gastrointestinal function,and promote patient comfort.It is worthy of clinical application.