吴茱萸贴敷涌泉穴联合地塞米松托烷司琼对甲状腺切除术后恶心呕吐的影响

发布时间：2018-03-02 15:30

本文选题：吴茱萸贴　切入点：地塞米松托烷司琼　出处：《辽宁中医杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:探讨吴茱萸贴敷涌泉穴联合地塞米松托烷司琼对甲状腺切除术后恶心呕吐的影响,为进一步临床应用提供治疗方案。方法:选取2014年12月—2016年12月在本院接受治疗的96例甲状腺切除术患者,按照随机数表法分为试验组和对照组,两组各48例患者,对照组地塞米松托烷司琼,试验组吴茱萸贴敷涌泉穴联合地塞米松托烷司琼治疗恶心呕吐,比较两组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率,对两组患者的术后恶心呕吐程度和术后并发症进行比较。结果:试验组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率分别为18.8%、30.2%、23.2%、14.0%,对照组分别为34.9%、48.8%、44.2%、30.2%,两组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率比较差异均具有统计学意义(P0.05)。试验组患者术后1~4级恶心呕吐比率为68.8%,对照组为89.6%,两组患者比较差异均具有统计学意义(P0.05)。试验组患者术后头晕、嗜睡比率分别为25.0%、12.5%,对照组为37.4%、25.0%,两组患者术后头晕、头痛比率比较差异均具有统计学意义(P0.05)。结论:吴茱萸贴敷涌泉穴联合地塞米松托烷司琼可以降低甲状腺切除术后恶心呕吐程度和次数,并有效减少并发症的发生。
[Abstract]:Objective: to investigate the effect of Evodia rutaecarpa on nausea and vomiting after thyroidectomy by application of Yongquan point and dexamethasone tropisetron (Dexamethasone tropisetron). Methods: 96 patients who were treated in our hospital from December 2014 to December 2016 were divided into trial group and control group according to random number method. In the control group, dexamethasone tropisetron was used to treat nausea and vomiting. The incidence of nausea and vomiting was compared between the two groups at 2 h, 8 h, 16 h and 24 h, respectively. Results: the incidence of nausea and vomiting at 2 hours 8 hours after operation and 24 hours after operation in the trial group were 18. 8% and 30. 2% respectively. The incidences of nausea and vomiting in the trial group were 18. 8% and 30. 2% respectively. In the control group, the rates of nausea and vomiting were 34. 9%, 48. 8% and 44. 2%, respectively. The patients in the two groups were treated at 2 h, 8 h and 16 h after operation. The incidence of nausea and vomiting was significantly higher in the trial group than in the control group (P 0.05). The rate of nausea and vomiting was 68.8% in the trial group and 89.6 in the control group. There was significant difference in the incidence of nausea and vomiting between the two groups (P 0.05). The patients in the trial group were dizzy after operation. The somnolence ratio was 25.0 and 12.5, respectively, while that in the control group was 37.40.The patients in the two groups had postoperative dizziness, dizziness, dizziness, dizziness and dizziness. Conclusion: the application of Evodia rutaecarpa and dexamethasone tropisetron can reduce the degree and frequency of nausea and vomiting after thyroidectomy and reduce the incidence of complications.
【作者单位】：河北医科大学第二医院麻醉科;
【基金】：河北省医学科学研究课题计划项目(20130467)
【分类号】：R614

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