术前针刺内关穴治疗老年脊柱手术后恶心呕吐的效果

发布时间：2018-05-17 11:34

本文选题：针刺 + 内关穴　；参考：《中国老年学杂志》2017年15期

【摘要】：目的观察术前针刺内关穴对老年脊柱手术后恶心呕吐的疗效。方法将90例拟行择期脊柱手术的患者随机分为术前针刺组30例(A组)、药物治疗组30例(D组)和对照组30例(C组)。A组在麻醉诱导前30 min针刺内关穴,留针20 min后起针,其间行针1次;D组于麻醉诱导前30 min静注昂丹司琼4 mg;C组也在麻醉诱导前30 min针刺内关穴,但不进行任何手法行针,避免得气。观察三组患者术后2 h内≥6 h且12 h、≥12 h且24 h发生不同程度呕吐的人数,比较三组恶心程度评分和需要使用止吐药物的比例并进行疗效的对比。结果与C组比较,A组及D组在各时段术后呕吐发生人数和恶心程度评分更低(P0.05);与D组比较,A组各时段术后呕吐发生人数和恶心程度评分无显著差异(P0.05)。结论术前针刺内关穴对老年人脊柱手术后的恶心呕吐具有防治作用,与药物治疗等效。
[Abstract]:Objective To observe the effect of preoperative acupuncture Neiguan point on nausea and vomiting after spinal surgery in the aged. Methods 90 patients were randomly divided into 30 cases before operation (group A), 30 cases (group D) and 30 cases in control group (group C), group.A at 30 min before induction of anesthesia in Neiguan point, 20 min, 1 times between the needles; D Group 30 min before induction of anesthesia induction of ondansetron 4 mg, C group also at 30 min before anesthesia induction of acupuncture Neiguan point, but no manual needle, to avoid gas. Observation of three groups of patients within 2 h over 6 h and 12 h, 12 h and 24 h occurred in different degrees of vomiting, three groups of nausea scores and the need to use antiemetic drugs ratio Compared with the C group, the number of vomiting and nausea after operation in group A and D was lower (P0.05). Compared with the D group, there was no significant difference in the number of postoperatively vomiting and the degree of nausea (P0.05) in group A (P0.05). Conclusion the nausea and vomiting after the operation of the acupuncture at Neiguan point before operation in the elderly were of the nausea and vomiting after operation. The effect of prevention and treatment is equivalent to the drug treatment.
【作者单位】：南昌大学第一附属医院麻醉科;南昌大学第二附属医院麻醉科;
【基金】：江西省卫生厅中医处课题项目(No.2015A121)
【分类号】：R246.2

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