针灸临床杂志2012，Vol.28Issue(3)：1-4,4.
自控经皮电刺激耳神门穴对剖宫产术恶心及呕吐发生率的影响
Effects on Nausea and Vomiting with Patient- controlled Transcutaneous Electrical Stimulation of Auricular Shenmen Point in Cesarean Section
李井柱 1刘延莉 1马福国 1王明山 1时飞 1毕燕琳1
作者信息
- 1. 青岛大学医学院附属青岛市市立医院,山东青岛266071
- 折叠
摘要
Abstract
Objective; To investigate the effects on nausea and vomiting with patient - controlled transcutaneous electrical stimulation of auricular Shenmen point in different timing of cesarean section. Methods; A randomized controlled clinical trail was conducted on 240 singleton primiparas undergoing elective cesarean section. The women were randomly divided into three groups: patient - controlled transcutaneous electrical stimulation with auricular Shenmen point group (group \,n =80) ; patient - controlled transcutaneous electrical stimulation with auricular eye point group (group B,n =80) and control group (group C,n =80). Women of group A were received patient - controlled transcutaneous electrical stimulation with auricular Shenmen point into the operating room(frequency 1.5 Hz). The strength was controlled by them. Stimulation for 30 minutes before the epidural puncture, continued to stimulate after the end of surgery for two hours; Women of group B were received stimulation of auricular eye point as group A; Women of group C were received pressurization and connected line was the same as group A, but without electrical stimulation. Observation timing; (1 )from onset of anesthesia to removal of the fetus(T, ) ; (2) from removal of the fetus to the uterine suture which was completed( T2) ; (3) fromabdominal exploration to the skin incision suture(T3) ; (4) from epidural morphine that was given to the end of surgery(T4) for two hours. Observation indexes; (1 ) the rate of nausea and vomiting, hypotension and lower heart rate; (2) the rate of metoclopramide,oxytocin,atropine and ephedrine; (3) the volume of blood loss and neonatal Apgar score. Results j Compared with group B and group C, the rate of nausea and vomiting was lower in group A(P<0.05) at the lime of T3 and T4, but no significant difference( P >0. 05) at the time of T, and T2; the rate of metoclopramide was decreased in group A(P <0. 05). The rate of oxytocin,atropine and ephedrine, the volume of blood loss and the neonatal Apgar score were not different (P > 0. 05). Conclusion; Patient - controlled transcutaneous electrical stimulation of auricular Shenmen point decreases the rate of nausea and vomiting from abdominal exploration to the skin incision suture and after epidural morphine is given in ce-sarean section, but it has no effects from onset of anesthesia to removal of the fetus.关键词
针刺/耳/神门穴/电刺激疗法/剖宫产术/手术后恶心呕吐Key words
Acupuncture/Ear/Shenmen point/Electrical stimulation therapy/Cesarean section/Postoperative nausea and vomiting分类
医药卫生引用本文复制引用
李井柱,刘延莉,马福国,王明山,时飞,毕燕琳..自控经皮电刺激耳神门穴对剖宫产术恶心及呕吐发生率的影响[J].针灸临床杂志,2012,28(3):1-4,4.
