择时消胀穴位贴敷对腹腔镜子宫肌瘤剔除术后恶心呕吐的影响*

摘要： 目的 评价择时消胀穴位贴敷对腹腔镜下子宫肌瘤剔除手术后恶心呕吐（PONV）的治疗效果。方法 将120例子宫肌瘤患者随机分为实验组和对照组，研究中病例脱落有实验组5例、对照组4例，最终纳入并进行数据分析的共111例。对照组56例进行呕吐常规看护和假穴择时消胀穴位贴敷干预，实验组55例进行呕吐常规看护和择时消胀贴穴位贴敷干预。观察两组患者分别在术后0、6、12和24 h恶心呕吐的发生情况及缓解情况。结果 干预前（术后0 h）、干预时（术后6 h）实验组患者的PONV症状（0～Ⅳ级）与对照组比较，差异无统计学意义（P >0.05）；干预后（术后12和24 h）实验组患者的PONV症状（0～Ⅳ级）与对照组比较，差异有统计学意义（P <0.05）。结论 择辰时实施消胀穴位贴敷能有效改善腹腔镜下子宫肌瘤剔除手术后（0～Ⅳ级）PONV的症状，且副作用小。
Abstract: Objective?To evaluate the effect of timing XiaoZhang acupoint application deposited on nausea and vomiting after laparoscopic myomectomy surgery (Post-Operative Nausea and Vomiting, PONV). Methods 120 cases of uterine fibroids were randomly divided into experimental group and control group. There were 5 cases in the experimental group and 4 cases in the control group have lost to follow-up, and 111 cases were included in the study. The control group (n =56) accept vomiting routine nursing and selective false acupoint application therapy intervention, the experimental group (n =55) accept vomiting routine nursing and selective XiaoZhang acupoint application therapy intervention. The incidence of nausea and vomiting in two groups were observed after operation in 0, 6, 12, 24 h respectively. Results Before intervention（postoperative 0 h), intervention (postoperative 6 h), the patients in experimental group of PONV symptoms (0~Ⅳ) compared the control group, the difference was not statistically significant (P >0.05);Intervention (postoperative 12 h and 24 h) of the patients in the experimental group PONV symptoms (0~Ⅳ) and the control group, the difference was statistically significant (P <0.05). Conclusions Selective ChenShi implementation of XiaoZhang acupoint application can effectively improve laparoscopic myomectomy surgery (0～Ⅳ) of PONV symptoms, and the side effect is slight.