摘要
Abstract
Objective To observe the incidence of postoperative nausea and vomiting in patients with lapa?roscopic cholecystectomy who accepted Pressure Right stimulation. Methods One hundred and fifty patients, scheduled for elective laparoscopic cholecystectomy, were randomly divided into: pressure right and ondansetron group (group PO), ondansetron group (group O) and electroacupuncture and ondansetron group (group SO). Pres?sure Right were placed at Neiguan (PC6) for 30min before induction of anesthesia and continued until 48 hours after surgery in group O. Electroacupuncture stimulation of Neiguan was started 30 min before induction of anes?thesia and continued until the end of surgery in group SO. Ondansetron (8 mg) was given in three groups. The oc?currence of postoperative nausea and vomiting and the scores of Nausea Visual Analog Scale were recorded at the initial time (T0) and12 h(T1), 24 h(T2) and 48 h(T3) after operation. Results Compared with group O,at T0~3 the incidence of postoperative nausea and vomiting were significantly decreased in group PO [(28% vs 6%, 24% vs 8%, 20% vs 4%, 6% vs 0), P<0.05] , the scores of Nausea Visual Analog Scale were significantly de?creased in group PO at T0~3 (P<0.05), the scores in group O at T0~3 were [(5.1 ± 1.0), (3.7 ± 1.0), (2.6 ± 0.7), (1.7 ± 0.3)], the scores in group PO at T0~3 were [(2.1±0.7), (1.9±0.6), (1.3±0.2), 0]. Compared with group O, the inci?dence of postoperative nausea and vomiting were significantly decreased at T0~2 in group SO[(28% vs 8%, 24%vs 8%, 20%vs 6%), P<0.05], the scores of Nausea Visual Analog Scale were significantly decreased at T0~2 in group SO (P<0.05), the scores in group PO at T0~2 were [(1.9±0.9), (2.0±0.7), (1.9±0.5)]. Compared with group PO,the incidence of postoperative nausea and vomiting was significantly increased at T3 in group SO (0 vs 2%, P<0.05). The scores of Nausea Visual Analog Scale were significantly decreased at T2~3 in group SO (P<0.05). Conclusion Pressure Right can decrease the incidence of postoperative nausea and vomiting in pa?tients undergoing laparoscopic cholecystectomy and reduce the degree of postoperative nausea and vomiting.关键词
压力敏感止吐腕带/术后恶心呕吐/内关穴Key words
Pressure Right/postoperative nausea and vomiting/Neiguan point分类
医药卫生
