摘要
目的:研究经皮穴位电刺激(TEAS)联合帕洛诺司琼对宫腔镜手术患者术后恶心呕吐(PONV)的影响。方法:纳入行宫腔镜手术的患者80例,随机分为帕洛诺司琼组(A组)和TEAS联合帕洛诺司琼组(B组),每组各40例。记录患者术后1、6、12、24 h的恶心呕吐发生情况;比较两组患者术后肛门首次排气时间;术后24 h,评价患者的满意度评分。结果:①术后1、6 h,B组患者的PONV发生率较A组明显下降(P<0.05);术后12、24 h,两组患者的PONV发生率比较,差异均无统计学意义(P>0.05)。②B组患者的术后首次排气时间较A组明显缩短(P<0.05)。③术后,B组患者的满意度评分高于A组(P<0.05)。结论:TEAS联合静脉注射帕洛诺司琼可显著降低宫腔镜术后患者恶心呕吐的发生率,缩短术后首次排气时间,提高患者的满意度,有利于患者术后快速康复。
Objective:To study the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with palonosetron on postoperative nausea and vomiting(PONV)in patients after hysteroscopic surgery.Methods:Eighty patients undergoing hysteroscopic surgery were selected and randomly divided into Palonosetron group(group A)and TEAS combined with Palonosetron group(group B),40 cases in each group.The occurrence of nausea and vomiting at 1 h,6 h,12 h and 24 h after surgery was recorded.The time of the first anal exhaust after operation and the patients’satisfaction score at 24 h after surgery was evaluated.Results:①Compared with group A,the incidence of PONV at 1 h and 6 h after operation in group B was significantly decreased(P<0.05).There was no significant difference in the incidence of PONV between the two groups at 12 h and 24 h after surgery(P>0.05).②Compared with group A,the first anal exhaust time after operation was significantly shorter in group B(P<0.05).③Compared with group A,postoperative satisfaction score of patients was significantly higher in group B(P<0.05).Conclusion:TEAS combined with intravenous palonosetron can significantly reduce the incidence of nausea and vomiting in patients after hysteroscopic surgery,shorten the first anal exhaust time after surgery and improve patients’satisfaction,which is beneficial to the quick recovery of patients after surgery.
作者
殷智宇
周亚兰
汪静
高浩
于桂杰
YIN Zhiyu;ZHOU Yalan;WANG Jing;GAO Hao;YU guijie(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药大学学报》
CAS
2022年第S01期93-95,160,共4页
Academic Journal of Shanghai University of Traditional Chinese Medicine
基金
国家自然科学基金资助项目(81904283)
上海中医药大学附属曙光医院中西医结合研究专项项目(SGZXY-201907)
关键词
经皮穴位电刺激
帕洛诺司琼
术后
恶心呕吐
宫腔镜
transcutaneous electrical acupoint stimulation
palonosetron
postoperation
nausea and vomiting
hysteroscope
作者简介
殷智宇,女,主治医师,主要从事中西医结合麻醉的临床研究;通信作者:于桂杰,副主任医师,E-mail:yinzhiyu2009@126.com
