【摘要】 目的观察妇科腹腔镜手术患者使用电子止吐仪自控经皮穴位电刺激对术后恶心呕吐(PONV)的影响。方法选择行妇科腹腔镜手术的患者180例,随机均分为刺激组(T组)和对照组(C组)。T组患者自麻醉诱导5 min前至术后24 h接受持续经皮电刺激一侧内关穴,C组患者同样在一侧腕部佩戴电子止吐仪,但不做穴位电刺激。术后2、6、12、24 h随访,记录两组患者恶心和呕吐发生率及需要使用止吐药的比例。结果 T组术后6、12和24 h恶心发生率及术后6、24 h呕吐发生率均明显低于C组(P<0.05)。结论使用电子止吐仪经皮电刺激内关穴可减少妇科腹腔镜手术患者早期和晚期PONV发生率。更多还原

【Abstract】 Objective To evaluate the effect of the electronic anti-nausea instrument on the postoperative nausea and vomiting of patients with gynecological laparoscopic surgery.Methods One hundred and eighty patients for gynecological laparoscopic surgery were enrolled and randomized into2 groups with 90 patients in each.Patients in group T accepted patient-control transcutaneous electroacupoint stimulation at P6 (Neiguan) point from the time before the induction of anesthesia to 24 h after surgery.Patients in group C accepted the same device of electronic anti-nausea instrument without transcutaneous acupoint stimulation.Data were recorded of the nausea and vomiting in postoperative 2,6,12 and 24 h respectively.Results The incidence and severity of nausea at 6,12 and 24 h and vomiting at 6,24 hafter operation in group T were both lower than those in group C(P<0.05).Conclusion With patient-control transcutaneous acupoint stimulation at P6 point,the incidence of both early PONV and late PONV are reduced in patients with gynecological laparoscopic surgery.更多还原