摘要
目的观察足三里穴位注射预防腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术后恶心呕吐(postoperative nausea and vomiting,PONV)的效果。方法将拟行LC治疗的72例患者于麻醉前随机平均分为3组,A组采用10%葡萄糖液3 ml加氟哌利多2.5 mg和地塞米松10 mg行双侧足三里穴位注射,B组采用与A组相同的药物静脉注射,C组采用等容量的9.0 g/L氯化钠注射液行双侧足三里穴位注射,观察术后24 h 3组PONV发生率。结果A组、B组、C组术后24 h PONV总发生率分别为12.5%、25.0%、58.3%,A组和B组PONV总发生率显著低于C组(P<0.01),但A组和B组PONV总发生率比较,差异无统计学意义。结论穴位注射和静脉注射地塞米松和氟哌利多都有预防LC患者PONV的作用,而穴位注射效果具有优于静脉注射的趋势。
Objective To investigate effects of acupoint injection at Zusanli in preventing postoperative nausea and vomiting （PONV） after laparoscopic cholecystectomy （LC）. Methods Seventy-two patients, scheduled for LC, were randomly allocated to three groups with 24 cases each. Patients in group A were treated with acupoint injection at Zusanli of 10% glucose 3 ml plus dexamethasone 10 mg plus droperidol 2.5 mg; Group B received intravenous injection of the same drugs as group A; and Group C were treated with acupoint injection at Zusanli of equal volume of normal saline. The incidence of PONV in groupA, B, and C was observed 24 h after LC. Results The PONV incidence of group A, B, and C was 12. 5%, 25.0%, 58.3%,respectively; PONV incidence in group A or B was significantly lower than that in group C （P〈0.01）; and there was no statistical difference in PONV incidence between group A and group B （P〈0.05）. Conclusion Acupoint or intravenous injection of dexamethasone and droperidol is effective in preventing PONV after LC; there is a trend that effects of acupoint injection are superior to intravenous injection in preventing PONV.
出处
《安徽中医学院学报》
CAS
2010年第4期43-45,共3页
Journal of Anhui Traditional Chinese Medical College
关键词
术后恶心呕吐
腹腔镜胆囊切除术
足三里
穴位注射
Postoperative nausea and vomiting
Laparoscopic cholecystectomy
Zusanli
Acupoint injection
