摘要
目的:探讨吴茱萸贴敷涌泉穴联合地塞米松托烷司琼对甲状腺切除术后恶心呕吐的影响,为进一步临床应用提供治疗方案。方法:选取2014年12月—2016年12月在本院接受治疗的96例甲状腺切除术患者,按照随机数表法分为试验组和对照组,两组各48例患者,对照组地塞米松托烷司琼,试验组吴茱萸贴敷涌泉穴联合地塞米松托烷司琼治疗恶心呕吐,比较两组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率,对两组患者的术后恶心呕吐程度和术后并发症进行比较。结果:试验组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率分别为18.8%、30.2%、23.2%、14.0%,对照组分别为34.9%、48.8%、44.2%、30.2%,两组患者术后2 h、8 h、16 h和24 h恶心呕吐发生率比较差异均具有统计学意义(P<0.05)。试验组患者术后1~4级恶心呕吐比率为68.8%,对照组为89.6%,两组患者比较差异均具有统计学意义(P<0.05)。试验组患者术后头晕、嗜睡比率分别为25.0%、12.5%,对照组为37.4%、25.0%,两组患者术后头晕、头痛比率比较差异均具有统计学意义(P<0.05)。结论:吴茱萸贴敷涌泉穴联合地塞米松托烷司琼可以降低甲状腺切除术后恶心呕吐程度和次数,并有效减少并发症的发生。
Objective：To explore the effect of Evodia sticking Yongquan of tropisetron combined with dexamethasone on nausea and vomiting after thyroidectomy.Methods：A total of 96 cases of thyroidectomy from December 2014 to December 2016 in our hospital were randomly divided into experimental group and control group,48 in each.The control group used dexamethasone tropisetro and the experimental group used Evodia sticking Yongquan of tropisetron combined with dexamethasone in the treatment of nausea and vomiting.We compared two groups＇ incidence of nausea and vomiting 2,8,16 and 24 hours after operation ande compared postoperative nausea and vomiting and postoperative complications between the two groups.Results：Experimental group＇s incidence of nausea and vomiting 2,8,16 and 24 hours after operation was 18.8%,30.2%,23.2%,14%,respectively and the control group＇s was 34.9%,48.8%,44.2%,30.2%.Two groups＇ differences were statistically significant（P〈0.05）.The experimental group＇s postoperative nausea and vomiting in 1 to 4 grade was 68.8% and that was 89.6% in the control group.Two groups had statistically significant difference（P〈0.05）.The experimental group＇ s postoperative dizziness and drowsiness ratio were 25%,12.5% and those were 37.4% and 25% of the control group.Two groups＇ postoperative dizziness and headache ratio were statistically significant（P〈0.05）.Conclusion：Evodia sticking Yongquan of tropisetron combined with dexamethasone can reduce degree and times of postoperative nausea and vomiting and occurrence of complications.
作者
张惠军
付征
陆爱英
刘雅
ZHANG Huijun FU Zheng LU Aiying LIU Ya(Anesthesiology Dept, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, Chin)
出处
《辽宁中医杂志》
CAS
北大核心
2017年第10期2100-2102,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
河北省医学科学研究课题计划项目(20130467)
