CAJ | 학술논문

　　目的观察针刺内关穴预防术后恶心呕吐（PONV）的疗效。方法行腹腔镜胆囊切除手术患者178例，随机分为对照组（60例）、甲氧氯普胺组（58例）及针刺内关穴组（60例），于术后4h、8h、12h、24h随访，进行疗效对比。结果在术后8h内甲氧氯普胺组和针刺内关穴组恶心呕吐发生率均较对照组低，针刺内关穴组恶心程度的视觉模拟评分（NVAS）较对照组低。结论针刺内关穴可预防腹腔镜胆囊切除术后恶心呕吐，与甲氧氯普胺等效，还可降低恶心程度。
　　목적관찰침자내관혈예방술후악심구토（PONV）적료효。방법행복강경담낭절제수술환자178례，수궤분위대조조（60례）、갑양록보알조（58례）급침자내관혈조（60례），우술후4h、8h、12h、24h수방，진행료효대비。결과재술후8h내갑양록보알조화침자내관혈조악심구토발생솔균교대조조저，침자내관혈조악심정도적시각모의평분（NVAS）교대조조저。결론침자내관혈가예방복강경담낭절제술후악심구토，여갑양록보알등효，환가강저악심정도。
Objective To observe the effect of acupuncture at“Neiguan”in preventing nausea and vomiting after laparoscopic cho-lecystectomy. Methods 178 cases for selective laparoscopic cholecystectomy were randomly divided into 3 groups: control group (n=60), metoclopramide group (n=58) and acupuncture at“Neiguan”group (n=60); the curative effects at the time point of 4h, 8h, 12h and 24h after surgery were observed and compared. Results The occurrence of nausea and vomiting within 8 hours after surgery in metoclo-pramide group and acupuncture at“Neiguan”group was lower than that in control group and the scores of Nausea Visual Analog Scale (NVAS) in acupuncture at“Neiguan”group was lower than that in control group. Conclusions Acupuncture at“Neiguan”is effective in preventing the occurrence of nausea and vomiting after laparoscopic cholecystectomy, it shares the same effect with metoclopramide, and can decrease the severity of nausea.