电针防治气管插管全麻胃肠术后咽喉痛及恶心呕吐的随机对照研究

目的:观察电针干预对气管插管全麻胃肠术后咽喉痛(POST)及术后恶心呕吐(PONV)的防治作用。方法:60例气管插管全麻下胃肠手术患者按随机数字表法分为电针组30例和对照组30例。电针组患者全身麻醉前30 min给予点刺少商,电针尺泽、合谷并持续至术毕,对照组患者仅接受常规静脉全身麻醉。分别统计两组患者术后12、24、48 h POST的发生率及严重程度、术后咽喉痛视觉模拟量尺(VAS)评分和术后12、24 h PONV的发生率及严重程度。结果:电针组患者术后12、24 h时POST和PONV的发生率及严重程度、VAS评分均明显低于对照组(P<0.05)。与术后12 h比较,两组术后24、48 h的VAS评分明显降低(P<0.05)。结论:电针可改善患者POST的转归,减少PONV的发生。

Electroacupuncture in the prevention and treatment of sore throat and nausea and vomiting after gastrointestinal surgery:a randomized controlled trial

Objective To observe the effect of electroacupuncture(EA) intervention on postoperative sore throat(POST) and postoperative nausea and vomiting(PONV) after endotracheal intubation and general anesthesia. Methods According to the random number table, 60 patients of gastrointestinal surgery under general anesthesia with tracheal intubation were randomly divided into EA group(30 cases) and control group(30 cases). Patients in the EA group were given acupuncture at Shaoshang(LU11) 30 minutes before general anesthesia, and EA at Chize(LU5) and Hegu(LI4) continued until the operation was completed. The incidence and severity of POST and visual analogue scale(VAS) score at 12, 24, and 48 h after surgery, and the incidence and severity of PONV at 12, 24 h after surgery were analyzed, respectively. Results The incidence and severity of POST and PONV, and VAS score in the EA group were significantly lower than those in the control group 12 h and 24 h after surgery(P<0.05). Both groups had significant reductions in VAS score at 24 h and 48 h after surgery compared with that at 12 h(P<0.05). Conclusion EA can significantly improve the prognosis of patients on sore throat and reduce the incidence of PONV.