穴位埋线疗法预防后眼科全麻术后恶心呕吐的临床观察

科研成果详情

题名	穴位埋线疗法预防后眼科全麻术后恶心呕吐的临床观察
其他题名	Clinical observation the effect of catgut implantation at acupoints prevent postoperative nausea and vomiting after general anesthesia in ophthalmic surgery
作者	金约西; 叶文炼; 叶莉莎; 吴温馨; 姜爱芬
语种	中文
原始文献类型	Conference
会议名称	《中医杂志》特邀心血管专家学术座谈会暨中医治疗冠心病心绞痛疾病临床经验会议
会议日期	2017-12-22
会议地点	北京
关键词	眼科全麻术术后恶心呕吐穴位埋线疗法疾病预防
其他关键词	catgut implantation at acupoints ; posterior scleral reinforcement operation ; nausea and vomiting
摘要	目的：探讨内关穴和足三里穴位埋线用于预防眼科全麻术后恶心呕吐的效果和安全性. 方法：选择择期行后巩膜加固术患者100例,随机分为2组(n=50)：帕洛诺司琼联合地塞米松预防组(Ⅰ组)和穴位埋线+帕洛诺司琼联合地塞米松预防组(Ⅱ组).Ⅰ组麻醉诱导后给于地塞米松和手术结束前半小时给予帕洛诺司琼预防术后恶心呕吐;Ⅱ组麻醉诱导后给于地塞米松和手术结束前半小时给予帕洛诺司琼以及在内关穴和足三里穴位埋线预防术后恶心呕吐.记录术后24小时急性期恶心呕吐发生率和程度,以及＞24小时延迟期恶心呕吐的发生情况. 结果：与Ⅰ组比较,Ⅱ组急性期恶心呕吐发生率降低,恶心呕吐程度减轻(P＜0.05);Ⅱ组在延迟期的恶心呕吐发生率低于Ⅰ组(P＜0.05). 结论：内关穴和足三里穴位埋线能有效预防眼科全麻术后恶心呕吐,降低术后恶心呕吐的程度,值得临床推广应用.
其他摘要	Objective To observation the efficacy and safety of Neiguan and Zusanli catgut implantation at acupoints prevent postoperative nausea and vomiting after general anesthesia in ophthalmic surgery.Methods 100 patients undergoed posterior scleral reinforcement operation were divided into two groups:palonosetron combined with dexamethasone group(Group Ⅰ,n=50)and palonosetron combined with dexamethasone + catgut implantation at acupoints group(Group Ⅱ,n=50).The patients in Group Ⅰ were received dexamethasone after induction of anesthesia and received palonosetron for half an hour before the end of surgery,the patients in Group Ⅱ were received dexamethasone and palonosetron,meanwhile Neiguan and Zusanli catgut implantation at acupoints.The severity of nausea and vomiting were recorded during 24 hours and 72 hours after surger.Results The incidence of nausea and vomiting in group Ⅱ was significantly lower than in group Ⅰ 24 hours after surger(P<0.05); The incidence of nausea and vomiting in Group Ⅰ was higher than that in Group Ⅱ 72 hours after surger(,P<0.05).Conclusion It was effective and feasible to give Neiguan and Zusanli catgut implantation at acupoints prevent postoperative nausea and vomiting general anesthesia in ophthalmic surgery.
页码	300-301
URL	查看原文
收录类别	万方
发表日期	2017-12-22
文献类型	会议论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/146117
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
作者单位	温州医科大学附属眼视光医院麻醉科浙江温州 325027
第一作者单位	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
第一作者的第一单位	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
推荐引用方式 GB/T 7714	金约西,叶文炼,叶莉莎,等. 穴位埋线疗法预防后眼科全麻术后恶心呕吐的临床观察[C],2017:300-301.