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目的:观察经皮电刺激耳神门穴联合止吐药对剖宫产术后恶心呕吐的影响。方法:纳入120例剖宫产产妇,采用随机数字表法将患者分为2组各60例。对照组术后给予盐酸昂丹司琼注射液8 mg静脉注射与自控硬膜外镇痛(PCEA),观察组在对照组用药基础上给予经皮电刺激耳神门穴治疗,对比2组术后12 h出血量、术后排气时间、住院时间,记录术后24 h、48 h恶心、呕吐的发生情况等。结果:观察组术后12 h出血量少于对照组,术后排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组术后0~24 h恶心、呕吐发生率均低于对照组,差异均有统计学意义(P<0.05);观察组术后24~48 h恶心、呕吐发生率略低于对照组,但差异均无统计学意义(P>0.05)。观察组术后24 h恶心、呕吐次数均少于对照组,差异均有统计学意义(P<0.05);2组术后48 h恶心、呕吐次数比较,差异均无统计学意义(P>0.05)。结论:经皮电刺激耳神门穴联合止吐药治疗能够降低剖宫产术后24 h恶心、呕吐的发生率,减少对术后产妇恢复的影响。
OBJECTIVE: To observe the effect of percutaneous electrical stimulation of aortosynovia combined antiemetic drugs on nausea and vomiting after cesarean section. Methods: 120 cases of cesarean section were enrolled in the study. The patients were divided into two groups of 60 cases using random number table. In the control group, 8 mg of ondansetron hydrochloride injection and controlled epidural analgesia (PCEA) were given postoperatively. The rats in the observation group were treated with percutaneous electrical stimulation of the ear sacral points on the basis of the control group, After 12 h of bleeding, postoperative exhaust time, hospital stay, recording 24 h, 48 h after nausea, vomiting and so on. Results: The bleeding volume in observation group was less than that in control group 12 h after operation. The exhaust time and hospitalization time were shorter in observation group than those in control group (P <0.05). The incidence of nausea and vomiting in the observation group at 0-24 h postoperatively were lower than those in the control group (P 0. 05). The incidence of nausea and vomiting in the observation group was slightly lower than that of the control group 24-24 h postoperatively, But the differences were not statistically significant (P> 0.05). The number of nausea and vomiting in the observation group at 24 hours after operation was lower than that in the control group (P <0.05). There was no significant difference in the number of nausea and vomiting at 48 hours after operation between the two groups (P> 0.05 ). CONCLUSION: Percutaneous electrical stimulation of auricular points combined with antiemetic drugs can reduce the incidence of nausea and vomiting 24 hours after cesarean section and reduce the impact on postoperative maternal recovery.