针灸内关穴联合托烷司琼预防腹腔镜术后恶心呕吐的疗效观察.docVIP

精品论文 参考文献 针灸内关穴联合托烷司琼预防腹腔镜术后恶心呕吐的疗效观察 李晓波 乌云 　　（内蒙古乌海市人民医院麻醉科 016000） 　　【摘要】 目的：观察针灸内关穴联合静脉注射托烷司琼对预防腹腔镜手术术后恶心呕吐的疗效，更好预防腹腔镜术后恶心呕吐。方法：120 例女性全麻腹腔镜手术患者随机分为对照组和实验组。实验组麻醉后28号1. 5～2寸毫针斜刺内关穴位, 接低频电子脉冲治疗仪, 留针30min。实验组与对照组患者均于术毕托烷司琼2mg静脉注射。观察各时间段恶心呕吐的发生率。结论：针灸内关穴联合静脉注射托烷司琼能较有效降低腹腔镜术后恶心呕吐发生率。是一种有效安全的预防恶心呕吐方法。 　　【关键词】 针灸;内关穴;托烷司琼;腹腔镜手术;恶心呕吐 　　【中图分类号】R245 【文献标识码】A 【文章编号】2095-1752（2015）08-0024-02 　　Acupuncture and moxibustion in joint clearance hole tropaneSiQiong prevention of postoperative nausea and vomiting after laparoscopic curative effect observation LiXiaobo, Wu Yun. The Peoples Hospital of WuhaiCity, Inner Mongolia,Wuhai, 016000, China 　　【Abstract】ObjectiveObservation of acupuncture and moxibustion in closed cavity combined intravenous tropaneSiQiong for prevention of postoperative nausea and vomiting after laparoscopic curative effect, better prevention of laparoscopic postoperative nausea and vomiting. Methods120 cases of women with general anesthesia laparoscopic surgery were randomly divided into control group and experimental group. 28 after anesthesia group 1. 5 2 inches filiform needle oblique thorn closed in meridians, low-frequency electronic pulse therapeutic apparatus, retaining needle for 30 min. The experimental group and control group patients were in bi tropaneSiQiong 2 mg intravenous injection. Each time the incidence of nausea and vomiting.ConclusionsAcupuncture and moxibustion in closed cavity combined intravenous tropaneSiQiong can effectively reduce the incidence of postoperative nausea and vomiting after laparoscopic. Is a kind of effective Method:safe prevent nausea and vomiting. 　　【key words】 Acupuncture; Inside in the hole; TropaneSiQiong; Laparoscopic surgery; Nausea and vomiting 　　术后发生恶心和呕吐是手术后最为常见的并发症,可给患者身心带来极大的痛苦,恶心会导致厌食、频繁呕吐可导致营养不良、脱水和电解乱、体质以及生活质量下降, 虽然不会危及生命,对患者康复产生一定影响。会增加患者术后痛苦,增加医护人员的工作负担,延长患者住院时间,增加医疗费用。但是现有止呕药物的治疗效果有限,在降低患者术后恶心、呕吐发生的同时,还会有一定的副作用 ,对患者产生不利影响，在此情况下,要求其他安全有效的治疗方法的介入。笔者对针灸双侧内关穴联合托烷