耳穴压豆联合地塞米松在腹腔镜手术患者术后24h恶心呕吐防控中的应用效果OA
Application effect of auricular point pressing beans combined with Dex-amethasone in the prevention and control of postoperative 24 hour nausea and vomiting in patients undergoing laparoscopic surgery
目的 探讨耳穴压豆联合地塞米松对腹腔镜手术患者术后24 h恶心呕吐(PONV)的预防效果.方法 选取2025年1月至10月于淄博市中医医院行择期腹腔镜手术的120例患者作为研究对象,采用随机数字表法分为观察组(60例)与对照组(60例).对照组采用麻醉诱导前静脉推注地塞米松10 mg干预,观察组在对照组基础上联合术前1 d耳穴压豆及术后规律按压干预.比较两组患者术后24 h PONV发生率、术后不同时间点PONV严重程度、术后24 h补救用药率,同时记录观察组耳穴压豆相关不良反应发生情况.结果 观察组术后24 h PONV发生率低于对照组,差异有统计学意义(P＜0.05).观察组术后6、12、24 h各时间点视觉模拟评分法(VAS)评分均低于对照组同期,差异有统计学意义(P＜0.05).观察组术后24 h补救用药率低于对照组,差异有统计学意义(P＜0.05).观察组不良反应总发生率为5.17％,均为轻微皮肤反应.结论 耳穴压豆联合地塞米松可降低择期腹腔镜手术患者术后24 h PONV发生率,减轻症状并减少补救用药,安全性良好,可作为临床优选方案之一.
Objective To explore the preventive effect of auricular point pressing beans combined with Dexamethasone on postoperative 24 hour nausea and vomiting(PONV)in patients undergoing laparoscopic surgery.Methods A total of 120 pa-tients who underwent elective laparoscopic surgery at Zibo Hospital of Traditional Chinese Medicine from January to October 2025 were selected as the research subjects.They were divided into the observation group(60 cases)and the control group(60 cases)using the random number table method.The control group was intervened with intravenous injection of 10 mg Dexamethasone before anesthesia induction.The observation group was intervened with auricular point pressing beans 1 day before surgery and regular pressing after surgery in addition to the intervention of the control group.The incidence of PONV 24 hours after surgery,the severity of PONV at different time points after surgery,and the rate of rescue medication 24 hours after surgery were compared between the two groups.Meanwhile,the occurrence of adverse reactions related to auricular acupressure beads in the observation group was recorded.Results The incidence of PONV 24 hours after surgery in the ob-servation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The visual analogue scale(VAS)scores at 6,12,and 24 hours after surgery in the observation group were lower than those in the control group at the same time points,and the differences were statistically significant(P＜0.05).The rate of rescue medication 24 hours after surgery in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The total incidence of adverse reactions in the observation group was 5.17％,all of which were mild skin reactions.Conclusion Auricular point pressing beans combined with Dexamethasone can reduce the incidence of PONV 24 hours after surgery in patients undergoing elective laparoscopic surgery,alleviate symptoms,and reduce rescue medication.It has good safety and can be used as one of the preferred clinical schemes.
于玉;贾冬;李瑜
青岛大学第一临床医学院,山东青岛 266100山东省淄博市中医医院麻醉科,山东淄博 255300青岛大学附属医院西海岸院区麻醉科,山东青岛 266100
医药卫生
耳穴压豆地塞米松择期腹腔镜手术术后24h恶心呕吐
Auricular point pressing beansDexametha-soneLaparoscopic surgeryPostoperative 24 hour nausea and vomiting
《中国当代医药》 2026 (20)
47-50,55,5
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