Clinical study on acupoint application for prevention and treatment of nausea and vomiting after gynecological laparoscopic surgery
穴位贴敷防治妇科腹腔镜术后恶心呕吐的临床研究

摘要

目的 分析讨论穴位贴敷防治妇科腹腔镜术后恶心呕吐的临床效果。方法 选择我院2025.01-2025.6所接收的腹腔镜子宫、附件病损切除术后的妇科患者为目标人群，以术后出现恶心呕吐的100例患者为研究对象，患者的基础治疗均为术前麻醉诱导期给予静脉注射托烷司琼2mg,实验组患者在在中医师指导下术后进行止吐散穴位贴敷，比较两组术后 48h 内患者是否再次出现 PONV、严重程度分级及临床效果，观察实验组是否出现不良反应。结果 术后24±2h随访内实验组再次出现恶心呕吐12例（24.00%）；对照组再次出现恶心呕吐28例（56.00%），实验组发生频次均低于对照组（P<0.05），48±2h随访时两组患者症状均消失；入组时：实验组I级3例、II级7例、III 级28例、IV 级12例；对照组I级4例、II级6例、III 级26例、IV 级14例。术后24±2h随访发现实验组好转度优于对照组，48±2h随访均为0级；实验组进行穴位敷贴后，贴敷局部出现皮肤潮红1例、瘙痒2例、水泡1例，无渗液发生，均在经过调整后症状消失，出院时痊愈。结论 妇科腹腔镜术后恶心呕吐的防治中，穴位贴敷实施效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the clinical effects of acupoint patch application in preventing and treating postoperative nausea and vomiting after gynecological laparoscopic surgery.
Methods A total of 100 patients who developed nausea and vomiting after abdominal cavity surgery for uterine and adnexal lesions were selected as the target population from 2025.01-2025.6 hospitals in our hospital. All patients received intravenous ondansetron 2mg during the preoperative anesthesia induction phase. The experimental group underwent acupoint patch application for antiemetic treatment under the guidance of traditional Chinese medicine practitioners. The study compared whether patients in both groups experienced PONV again within 48h postoperatively, the severity grading, and clinical outcomes, while also observing whether any adverse reactions occurred in the experimental group.
Results During the 24±2h follow-up after surgery, 12 cases (24.00%) of patients in the experimental group experienced nausea and vomiting again; 28 cases (56.00%) of patients in the control group experienced nausea and vomiting again. The frequency of occurrences in the experimental group was lower than that in the control group (P<0.05). By the 48±2h follow-up, symptoms had disappeared in both groups. At the time of enrollment: 3 cases in the experimental group were Grade I, 7 cases were Grade II, 28 cases were Grade III, and 12 cases were Grade IV; 4 cases were Grade I, 6 cases were Grade II, 26 cases were Grade III, and 14 cases were Grade IV in the control group. During the 24±2h follow-up after surgery, the improvement degree in the experimental group was better than that in the control group, with all patients achieving grade 0 by the 48±2h follow-up. After acupoint patch application, one case experienced skin erythema, two cases experienced itching, and one case experienced blisters, but no exudation occurred. All symptoms disappeared after adjustment and the patients were discharged in good condition.
Conclusion   In the prevention and treatment of postoperative nausea and vomiting after gynecological laparoscopic surgery, the implementation of acupoint patch application has shown significant effects and is worthy of widespread promotion and application.