Effects of acupressure on patients after laparoscopic hysterectomy under general anesthesia
Objective To explore the acupressure at bilateral Neiguan,Zhongwan and Zusanli points in Postanesthesia Care Unit(PACU)can reduce postoperative Nausea and Vomiting(PONV)incidence in patients with laparoscopic hysterectomy.Methods A total of 336 patients who received laparoscopic total hysterectomy under elective general anesthesia were selected and divided into Neiguan point+Zhongwan point+Zusanli massage group(observation group)and no acupoint massage group(control group)according to the principle of comparability of basic characteristics between groups.Patients were induced and maintained by routine anesthesia and were sent to PACU to recover after surgery.When the patient arrives at the PACU after the operation,the participating nurses open the sealed envelope and perform acupoint massage or not according to the group assignment.Acupressure each point for 5 min,15～20 times per minute,repeat once every 30 min,until the patient met the PACU exit criteria.The Apfel simplified risk score was recorded before operation.The number and severity of PONV at 30 min,2 h,6 h,12 h,24 h and 48 h after surgery,the visual analogue scale(VAS)score at 2 h,6 h,12 h,24 h and 48 h after surgery and the incidence of adverse events were recorded after operation.Results There was no significant difference in PONV level of severity between the two groups at 30 min after operation(P＞0.05).At 2 h,6 h,12 h,24 h and 48 h after operation,PONV level of severity between the two groups was statistically significant(P＜0.05),the severity of PONV in observation group was lower than that in the control group.The pain score(VAS)of the two groups decreased gradually at 2 h,6 h,12 h,24 h and 48 h after surgery,and the difference was statistically significant(Ptime=0.000),but no statistically significant difference between the groups(Pgroup＞0.05)and had no interaction effect with time(Pinteraction＞0.05).There was no significant difference in the incidence of adverse interaction within 48 h after surgery between the two groups(P＞0.05).Conclusion Acupressure at bilateral Neiguan,Zhongwan and Zusanli points in PACU can reduce the severity level of PONV at 2 h,6 h,12 h,24 h and 48 h in patients after laparoscopic hysterectomy under general anesthesia.
Postoperative nausea and vomitingPostanesthesia care unitAcupressureNeiguan pointZhongwan pointZusanli point
万方数据
维普
