目的旨在评估针刺阴维穴对女性腹部手术患者术后恶心、呕吐(postoperative nausea and vomiting,PONV)的临床效果及对肠道菌群的影响。方法选取2021年1月至2024年4月间于金华市中心医院行妇科腔镜手术的患者184例,采用随机数字法分为对...目的旨在评估针刺阴维穴对女性腹部手术患者术后恶心、呕吐(postoperative nausea and vomiting,PONV)的临床效果及对肠道菌群的影响。方法选取2021年1月至2024年4月间于金华市中心医院行妇科腔镜手术的患者184例,采用随机数字法分为对照组(n=93)及针刺组(n=91)。对照组患者手术完成时予以盐酸托烷司琼静脉注射5mg,针刺组在对照组基础上,手术操作前行双前臂掌侧阴维穴针刺30min进行干预,比较两组患者PONV的发生率及严重程度。此外,于术前、术后收集两组患者的粪便样本,采用肠道微生物16S扩增子绝对定量测序技术分析群落结构的差异。结果术后0~24h,针刺组和对照组分别有40例和56例患者发生PONV。针刺组患者发生PONV的比例均明显低于对照组(均P<0.05)。针刺组患者术后恶心的严重程度,术后服用止吐药的比例均显著低于对照组(P<0.05)。两组患者术前Observed、Chao1、ACE、Shannon和Simpon比较,差异无统计学意义(P>0.05)。针刺组患者术后Observed、Chao1、ACE和Shannon均明显高于对照组(P<0.05)。两组患者的术后Simpon比较,差异无统计学意义(P>0.05)。针刺组患者术后Observed、Chao1、ACE和Shannon明显高于术前(P<0.05)。针刺组和对照组的不良反应发生率分别为8.8%和8.6%,差异无统计学意义(P>0.05)。结论针刺阴维穴联合静脉注射托烷司琼可降低妇科腔镜手术患者PONV的发生率。展开更多
Objective： To observe the clinical effect of acupoint sticking of Chinese medicine at Shenque （CV 8） for preventing spleenstomach disharmony caused by venous analgesia pump. Methods： A total of 120 post-surgery pa...Objective： To observe the clinical effect of acupoint sticking of Chinese medicine at Shenque （CV 8） for preventing spleenstomach disharmony caused by venous analgesia pump. Methods： A total of 120 post-surgery patients using venous analgesia pump and also conforming to the inclusion criteria were randomized into 2 groups by the random number table. There were 58 patients in the control group who received conventional post-surgery nursing care, and there were 62 patients in the treatment group who received acupoint sticking at Shenque （CV 8） on the basis of conventional nursing care. After treatment, the incidences of postoperative nausea and vomiting, and abdominal bloating were measured. Results： The total incidence of nausea, vomiting and abdominal bloating in the treatment group was 11.3%, versus 39.7% in the control group, and the difference of the incidence between the two groups showed a statistical significance （P〈0.05）. In comparison of the severity of spleen-stomach dishormony which happened during 72 h after surgery, cases in the treatment group showed lower severity than those in the control group （P〈0.05）. Conclusion： Acupoint sticking at Shenque （CV 8） can effectively prevent spleen-stomach disharmony caused by venous analgesia pump, which will alleviate sufferings of the patients.展开更多
文摘目的旨在评估针刺阴维穴对女性腹部手术患者术后恶心、呕吐(postoperative nausea and vomiting,PONV)的临床效果及对肠道菌群的影响。方法选取2021年1月至2024年4月间于金华市中心医院行妇科腔镜手术的患者184例,采用随机数字法分为对照组(n=93)及针刺组(n=91)。对照组患者手术完成时予以盐酸托烷司琼静脉注射5mg,针刺组在对照组基础上,手术操作前行双前臂掌侧阴维穴针刺30min进行干预,比较两组患者PONV的发生率及严重程度。此外,于术前、术后收集两组患者的粪便样本,采用肠道微生物16S扩增子绝对定量测序技术分析群落结构的差异。结果术后0~24h,针刺组和对照组分别有40例和56例患者发生PONV。针刺组患者发生PONV的比例均明显低于对照组(均P<0.05)。针刺组患者术后恶心的严重程度,术后服用止吐药的比例均显著低于对照组(P<0.05)。两组患者术前Observed、Chao1、ACE、Shannon和Simpon比较,差异无统计学意义(P>0.05)。针刺组患者术后Observed、Chao1、ACE和Shannon均明显高于对照组(P<0.05)。两组患者的术后Simpon比较,差异无统计学意义(P>0.05)。针刺组患者术后Observed、Chao1、ACE和Shannon明显高于术前(P<0.05)。针刺组和对照组的不良反应发生率分别为8.8%和8.6%,差异无统计学意义(P>0.05)。结论针刺阴维穴联合静脉注射托烷司琼可降低妇科腔镜手术患者PONV的发生率。
文摘Objective： To observe the clinical effect of acupoint sticking of Chinese medicine at Shenque （CV 8） for preventing spleenstomach disharmony caused by venous analgesia pump. Methods： A total of 120 post-surgery patients using venous analgesia pump and also conforming to the inclusion criteria were randomized into 2 groups by the random number table. There were 58 patients in the control group who received conventional post-surgery nursing care, and there were 62 patients in the treatment group who received acupoint sticking at Shenque （CV 8） on the basis of conventional nursing care. After treatment, the incidences of postoperative nausea and vomiting, and abdominal bloating were measured. Results： The total incidence of nausea, vomiting and abdominal bloating in the treatment group was 11.3%, versus 39.7% in the control group, and the difference of the incidence between the two groups showed a statistical significance （P〈0.05）. In comparison of the severity of spleen-stomach dishormony which happened during 72 h after surgery, cases in the treatment group showed lower severity than those in the control group （P〈0.05）. Conclusion： Acupoint sticking at Shenque （CV 8） can effectively prevent spleen-stomach disharmony caused by venous analgesia pump, which will alleviate sufferings of the patients.
