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外科研究与新技术（中英文）

外科研究与新技术 ›› 2017, Vol. 6 ›› Issue (4): 268-270.doi: 10.3969/j.issn.2095-378X.2017.04.012

• 论著 • 上一篇    下一篇

揿针足三里、内关穴皮内埋置预防腹部手术术后恶心呕吐的临床研究

张瑜, 彭生, 刘佩蓉, 师小伟, 刘春亮, 刘奇, 李燕玲   

  1. 上海中医药大学附属第七人民医院麻醉科,上海 200137
  • 收稿日期:2017-11-02 发布日期:2017-12-28
  • 通讯作者: 彭 生,电子信箱:ps7707@163.com
  • 作者简介:张 瑜(1982—),主治医师,从事针灸对围术期生理功能的调控

Clinical study on intradermal thumbtack needle buried in Zusanli and Neiguan acupoints for prevention of nausea and vomiting after abdominal surgery

ZHANG Yu, PENG Sheng, LIU Peirong, SHI Xiaowei, LIU Chunliang, LIU Qi, LI Yanling   

  1. Department of Anesthesiology,Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China
  • Received:2017-11-02 Published:2017-12-28

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摘要： 目的 观察揿针埋针双侧足三里联合内关穴预防腹部手术术后恶心、呕吐的临床疗效。方法 160 例择期腹部手术患者随机数字表法分为揿针组和对照组,每组80 例(n=80)。两组患者均采用七氟烷吸入复合瑞芬太尼维持麻醉。术前30 min,揿针组患者给予双侧足三里、内关穴贴揿针,对照组患者双侧相同穴位贴假治疗片。观察两组患者在术后48 h过程中恶心、呕吐的反应。结果 揿针组患者术后恶心、呕吐程度较对照组均显著降低(P＜0.05)。结论 揿针针刺双侧足三里、内关穴能显著减轻腹部手术术后恶心、呕吐发生率。

关键词: 揿针, 足三里, 内关, 恶心, 呕吐

Abstract: Objective To observe the clinical effect of bilateral intradermal thumbtack needle buried in Zusanli and Neiguan acupoints on nausea and vomiting in abdominal surgery patients.Methods A total of 160 patients receiving abdominal surgery were randomly divided into two groups:thumbtack needle group (group T,n = 80) and sham group (group S,n = 80).Both groups were anesthetized with sevoflurane-remifentanil combined anesthesia.At 30 min before surgery,the patients of group T underwent acupuncture treatment on bilateral Zusanli and Neiguan acupoints,and patients of group S were given sham treatment patches on the same acupoints.Nausea and vomiting responses were recorded within postoperative 48 h.Results Compared with the group S,the group T showed decreased postoperative nausea and vomiting degrees (P<0.05).Conclusion Applying intradermal thumbtack needle on Zusanli and Neiguan acupoints at 30 min before surgery can significantly reduce the incidence rate of nausea and vomiting after abdominal surgery.

Key words: Thumbtack needle, Zusanli acupoint, Neiguan acupoint, Nausea, Vomiting

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