转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
3期
13-14
,共2页
托烷司琼%穴位按压%术后恶心呕吐
託烷司瓊%穴位按壓%術後噁心嘔吐
탁완사경%혈위안압%술후악심구토
tropisetron%acupuncture%PNOV
目的：探讨托烷司琼加穴位按压对预防妇科腹腔镜手术患者术后恶心呕吐的效果．方法：本研究选择接受妇科腹腔镜手术的患者，按照随机数表法分为两组，两组患者分别施以静脉注射托烷司琼和静脉注射托烷司琼加穴位按压两种干预方法，观察并验证两种干预方法临床疗效的差异．采用不同方法干预后，分析两组患者发生PONV的时间、程度以及术后患者的血压、心率、呼吸、氧饱和度等临床观察指标的前后变化，探讨治疗PONV的最佳方案．结果：两组患者恶心呕吐发生率分别为40．6％和25．0％，各组间比较差异有统计学意义（P＜0．05）．结论：托烷司琼加穴位按压可有效地降低妇科腹腔镜术后恶心呕吐的发生率．
目的：探討託烷司瓊加穴位按壓對預防婦科腹腔鏡手術患者術後噁心嘔吐的效果．方法：本研究選擇接受婦科腹腔鏡手術的患者，按照隨機數錶法分為兩組，兩組患者分彆施以靜脈註射託烷司瓊和靜脈註射託烷司瓊加穴位按壓兩種榦預方法，觀察併驗證兩種榦預方法臨床療效的差異．採用不同方法榦預後，分析兩組患者髮生PONV的時間、程度以及術後患者的血壓、心率、呼吸、氧飽和度等臨床觀察指標的前後變化，探討治療PONV的最佳方案．結果：兩組患者噁心嘔吐髮生率分彆為40．6％和25．0％，各組間比較差異有統計學意義（P＜0．05）．結論：託烷司瓊加穴位按壓可有效地降低婦科腹腔鏡術後噁心嘔吐的髮生率．
목적：탐토탁완사경가혈위안압대예방부과복강경수술환자술후악심구토적효과．방법：본연구선택접수부과복강경수술적환자，안조수궤수표법분위량조，량조환자분별시이정맥주사탁완사경화정맥주사탁완사경가혈위안압량충간예방법，관찰병험증량충간예방법림상료효적차이．채용불동방법간예후，분석량조환자발생PONV적시간、정도이급술후환자적혈압、심솔、호흡、양포화도등림상관찰지표적전후변화，탐토치료PONV적최가방안．결과：량조환자악심구토발생솔분별위40．6％화25．0％，각조간비교차이유통계학의의（P＜0．05）．결론：탁완사경가혈위안압가유효지강저부과복강경술후악심구토적발생솔．
AIM:To investigate the precautionary effect of tropi-setron combined with acupuncture on nausea after gynecologic lap-aroscopy operation.METHODS:Patients who received the gyne-cologic laparoscopy operation were divided into two groups ran-domly according to numerical table.One group was treated by tro-pisetron only and the other by tropisetron combined with acupunc-ture.The difference of effectiveness of the therapeutic regimens were observed and verified.The time postoperative nausea and vomiting (PONV)presented,its severity and changes of clinical manifestations like postoperative blood pressure, heart rate, breathing condition and oxygen saturation were analyzed to deter-mine the optimum therapeutic regimen.RESULTS:The inci-dences of PNOV of the two groups were 40.6% and 25.0% re-spectively.The difference was statistical significant (P<0.05 ). CONCLUSION:Tropisetron combined with acupuncture can ef-fectively reduce the incidence of PNOV after gynecologic laparos-copy operation.
