首页|揿针治疗对中老年椎体融合术后患者恶心呕吐的效果观察

揿针治疗对中老年椎体融合术后患者恶心呕吐的效果观察

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目的 探讨椎体骨折中老年患者椎体融合术后应用揿针治疗降低术后恶心呕吐发生率的作用。方法 选取福建医科大学附属第二医院 2021 年 8 月—2023 年 2 月在全麻下行椎体融合术后携带静脉自控镇痛泵的中老年患者 74 例,通过随机数字表法分为 2 组。对照组出现恶心呕吐等胃部不适时,给予心理疏导、转移注意力,加强巡视观察,必要时根据医嘱,调整镇痛泵的使用方法或者使用药物止吐;观察组在对照组的基础上予术后即刻及术后 12 h采用双侧合谷及内关揿埋针疗法。比较2组患者术后4、8、12、24 h恶心及呕吐严重程度及发生率情况。结果 术后24 h内观察组患者控制有效率(81。08%)显著高于对照组(54。05%),差异有统计学意义(P<0。05)。观察组首次呕吐时间、呕吐持续时间显著短于对照组(P<0。05)。结论 对全麻下行椎体融合手术的中老年患者实施穴位埋针治疗,可以更高效降低患者术后恶心呕吐发生率,并减轻其恶心呕吐程度,且较少出现不良反应。
Observation on the Effect of Pressing Needle Therapy on Nausea and Vomiting in Middle-Aged and Elderly Patients After Vertebral Fusion Surgery
Objective To explore the effect of pressing needle therapy on reducing the incidence of postoperative nausea and vomiting in middle-aged and elderly patients with vertebral fracture after vertebral body fusion.Methods A total of 74 middle-aged and elderly patients who underwent vertebral fusion surgery under general anesthesia and were equipped with a patient-controlled intravenous analgesia pump were selected from the Second Affiliated Hospital of Fujian Medical University from August 2021 to February 2023 were collected,and were randomly divided into two groups using a random number table method.In the control group,patients with stomach discomfort such as nausea and vomiting were given psychological counseling,distracted attention,strengthened patrol observation,and adjusted the use of analgesic pump or used drugs to stop vomiting according to the doctor's advice when necessary.On the basis of the control group,the observation group was treated with bilateral valley-closing and acupuncture at Neiguan immediately and 12 hours after operation.Then observe and compare the severity and incidence of nausea and vomiting in the two groups at 4 hours,8 hours,12 hours and 24 hours after operation.Results Within 24 hours after operation,the effective rate of patients in the observation group(81.08%)was significantly higher than that in the control group(54.05%),and the difference was statistically significant(P<0.05).The first vomiting time and vomiting duration in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion Acupoint embedding therapy for middle-aged and elderly patients undergoing vertebral body fusion surgery under general anesthesia can effectively reduce the incidence of postoperative nausea and vomiting,and reduce the degree of nausea and vomiting,with less adverse reactions,which is worthy of further research and application.

press needle therapymiddle-aged and elderlyvertebral fusionnauseavomitingeffect

林燕梅、陈毅菁、潘梅玉、万秋慧

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福建医科大学附属第二医院东海院区脊柱外科/创伤骨科,福建 泉州 362000

揿针治疗 中老年 椎体融合术 恶心 呕吐 效果

福建中医药大学校管课题临床专项立项项目(2019)

XB2019089

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(11)
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