【摘要】 目的:评价耳穴贴压联合静脉注射托烷司琼对妇科腹腔镜术后恶心呕吐发生率的影响。方法:选择120例全身麻醉下择期妇科腹腔镜手术患者,按随机数字法分为3组:耳穴贴压组(A组,n=40)、托烷司琼组(B组,n=40)及耳穴贴压联合托烷司琼组(C组,n=40)。A组患者取耳神门、胃和交感三处穴位粘贴王不留行籽,分别于术前及术后进行按压治疗,B组手术结束前静脉注射托烷司琼2 mg,C组行耳穴贴压治疗并联合静脉注射托烷司琼2 mg。观察术后24 h内恶心及呕吐发生率、加用其他止吐药的发生率及其他副作用。结果:与A组及B组比较,C组术后24 h内恶心发生率(22.5%比52.5%、47.5%)、呕吐发生率(12.5%比30.0%、32.5%)及加用其他止吐药的发生率(10.0%比22.5%、25.0%)降低(字2值分别为:20.645,14.337;14.629,11.200;10.000,6.994,P<0.01);A组与B组比较差异无统计学意义(P>0.05);3组均未出现其他副作用。结论:耳穴贴压联合静脉注射托烷司琼明显降低妇科腹腔镜手术术后恶心呕吐的发生率。更多还原

【Abstract】 Objective:To investigate the effect of paste and oppression of auricular points combined with tropisetron on postoperative nausea and vomiting in the women undergoing Laparoscopic surgery.Method:One hundred and twenty women undergoing laparoscopic surgery were randomly assigned to 3 groups:paste and oppression of auricular points group(group A),tropisetron group(group B)and paste and oppression of auricular points with tropisetron group(group C),40 cases in each group.Women of group A received paste and oppression of auricular Shenmen(TF4),Wei(CO4) and Jiaogan(AH6a)points with the seeds of Wang Bu Liu Xing at the time of preoperation,1,5 and 23 hours of postoperation for 15 minutes.Women of group B were infused with tropisetron intravenously before the end of surgery.Women of group C received paste and oppression of auricular points combined with tropisetron.The incidence of postoperative nausea and vomiting(PONV)for 24 hours,the rate of additional antiemetic and the other adverse effects were observated.Result:Compared with group A and group B,the incidence of PONV,the rate of additional antiemetic were decreased in group C(P<0.01).There were no difference between group A with group B(P>0.05).No other side effects were observed.Conclusion:Paste and oppression of auricular points combined with tropisetron can reduce the incidence of PONV in the women undergoing Laparoscopic surgery.更多还原