摘要
目的探讨皮内针联合柠檬外皮气味吸入防治膝关节置换术后镇痛泵所致恶心呕吐的临床效果。方法 80例行人工膝关节置换术后自愿使用静脉自控镇痛泵(PCIA)患者,随机分为试验组与对照组,各40例。当所有患者出现恶心、呕吐等胃部不适时,对照组采用常规护理,试验组在对照组基础上采用皮内针联合柠檬外皮气味吸入治疗。比较两组患者术后24 h恶心呕吐程度及术后不同时间段恶心呕吐程度视觉模拟评分法(NVAS)评分。结果术后苏醒时,两组NVAS评分比较,差异无统计学意义(P>0.05);术后6、12、24、48 h,试验组NVAS评分分别为(4.24±3.05)、(3.89±3.07)、(3.18±3.11)、(1.99±2.57)分,均低于对照组的(5.79±2.91)、(5.40±2.95)、(4.73±2.99)、(3.45±3.07)分,差异有统计学意义(P<0.05)。试验组24 h恶心呕吐程度较对照组轻,差异有统计学意义(P<0.05)。结论皮内针联合柠檬外皮气味吸入对缓解膝关节置换术后PCIA引起的恶心呕吐等胃肠道反应疗效显著,值得推广应用。
Objective To discuss the clinical effect of intradermal needle combined with lemon peel odor inhalation in prevention and treatment of nausea and vomiting caused by patient controlled intravenous analgesia (PCIA) after knee arthroplasty. Methods A total of 80 patients who volunteer to patient controlled intravenous analgesia after knee arthroplasty were divided into experimental group and control group randomly, with 40 cases in each group. When all the patients had nausea and vomiting feelings, the control group was treated with routine care, while the experimental group was treated with intradermal needle combined with lemon peel odor inhalation on the basis of the control group. Comparison was made on the degree of nausea and vomiting 24 h after operation and the nausea and vomiting visual analogue scale (NVAS) score at different time periods after operation of the two groups. Results There was no significant difference in NVAS score between the two groups at awakening time (P>0.05);the NVAS score of the experimental group at 6, 12, 24 and 48 h after operation were (4.24±3.05),(3.89±3.07),(3.18±3.11),(1.99±2.57) points, respectively, which were all lower than those of the control group as (5.79±2.91),(5.40±2.95),(4.73±2.99),(3.45±3.07) points. The difference was statistically significant (P<0.05). The degree of nausea and vomiting within 24 h in the experimental group was lighter than that in the control group (P<0.005). Conclusion Intradermal needle combined with lemon peel odor inhalation is effective in alleviating gastrointestinal reactions such as nausea and vomiting caused by PCIA after knee arthroplasty, and it is worth promotion and application.
作者
倪新玲
曾科学
吴淮
叶国柱
詹文英
NI Xin-ling;ZENG Ke-xue;WU Huai(Guangdong Second Hospital of Traditional Chinese Medicine, Guangzhou 510095, China)
出处
《中国现代药物应用》
2019年第15期168-170,共3页
Chinese Journal of Modern Drug Application
关键词
皮内针
柠檬外皮气味吸入
内关穴
静脉自控镇痛泵
Intradermal needle
Lemon peel odor inhalation
Neiguan point
Patient controlled intravenous analgesia
