CAJ | 학술논문

目的：分析无创穴位刺激对术后恶心呕吐的防治效果。方法选取120例全身麻醉术后患者为研究对象，根据术后恶心呕吐干预方法将其分为辣椒素敷贴组、常规药物防治组及空白对照组各40例。辣椒素敷贴组患者在全身麻醉诱导前30 min在其双侧内关穴敷贴辣椒素软膏；常规药物防治组全身麻醉结束前30 min给予4 mg昂丹司琼静脉注射干预；空白对照组不给予任何防治干预，比较三组患者术后24 h恶心呕吐发生情况。结果辣椒素敷贴组、常规药物防治组恶心呕吐发生情况均优于空白对照组，组间差异有统计学意义（P<0.05）；且辣椒素敷贴组患者恶心呕吐防治情况优于常规药物防治组，组间差异有统计学意义（P<0.05）。结论无创穴位刺激对术后恶心呕吐的防治效果显著，值得在临床上进一步推广。
목적：분석무창혈위자격대술후악심구토적방치효과。방법선취120례전신마취술후환자위연구대상，근거술후악심구토간예방법장기분위랄초소부첩조、상규약물방치조급공백대조조각40례。랄초소부첩조환자재전신마취유도전30 min재기쌍측내관혈부첩랄초소연고；상규약물방치조전신마취결속전30 min급여4 mg앙단사경정맥주사간예；공백대조조불급여임하방치간예，비교삼조환자술후24 h악심구토발생정황。결과랄초소부첩조、상규약물방치조악심구토발생정황균우우공백대조조，조간차이유통계학의의（P<0.05）；차랄초소부첩조환자악심구토방치정황우우상규약물방치조，조간차이유통계학의의（P<0.05）。결론무창혈위자격대술후악심구토적방치효과현저，치득재림상상진일보추엄。
Objective To analyze the effect on the prevention and treatment of noninva sive acupoint stimulation on postoperative nausea and vomiting. Methods 120 cases of patients under general anesthesia for the study, according to postoperative nausea and vomiting intervention capsaicin application group would be divided into conventional drug treatment group and the control group, with 40 cases in each group. Before induction of general anesthesia 30min, sticking capsaicin patients received capsaicin ointment applicator in its bilateral Neiguan. The conventional drug treatment group was given general anesthesia before the end of the 30 min intravenous ondansetron 4mg intervention. The control group didn't give any prevention interventions. The 24 h postoperative nausea and vomiting of the three groups were observed. Results The incidence of nausea and vomiting of the capsaicin application group and conventional drug treatment group were superior to the control group, and had a statistically significant difference between groups ( P<0.05) ; the capsaicin applicator incidence of nausea and vomiting in patients was superior to the conventional drug treatment group, the difference had statistically significant ( P<0.05) . Conclusion The effect of noninvasive acupuncture stimulation on postoperative nausea and vomiting prevention was significant and worthy of further promotion in clinical practice.