The curative effect observation of different frequency of TEAS combined with wristband pressing on Neiguan(PC 6) for nausea and vomiting after laparoscopic cholecystectomy

doi:10.13703/j.0255-2930.2019.01.002

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The curative effect observation of different frequency of TEAS combined with wristband pressing on Neiguan(PC 6) for nausea and vomiting after laparoscopic cholecystectomy

更新时间：2023-05-10

- The curative effect observation of different frequency of TEAS combined with wristband pressing on Neiguan(PC 6) for nausea and vomiting after laparoscopic cholecystectomy
- Chinese Acupuncture and Moxibustion Vol. 39, Issue 1, Pages: 9-15(2019)
- 作者机构：
  
  1. 浙江中医药大学
  2. 浙江省肿瘤医院
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.2019.01.002
  CLC：
- Published：2019
- 稿件说明：
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The curative effect observation of different frequency of TEAS combined with wristband pressing on Neiguan(PC 6) for nausea and vomiting after laparoscopic cholecystectomy[J]. Chinese Acupuncture and Moxibustion, 2019, 39(1): 9-15.
DOI：

The curative effect observation of different frequency of TEAS combined with wristband pressing on Neiguan(PC 6) for nausea and vomiting after laparoscopic cholecystectomy[J]. Chinese Acupuncture and Moxibustion, 2019, 39(1): 9-15. DOI： 10.13703/j.0255-2930.2019.01.002.

摘要

目的:比较不同频率的经皮穴位电刺激(TEAS)结合腕带按压刺激内关穴对腹腔镜胆囊切除术后恶心呕吐(PONV)的治疗效果

优化治疗PONV的TEAS频率选择。方法:将行腹腔镜胆囊切除术患者80例按随机数字表法随机分为术后常规护理组、2 Hz TEAS结合腕带按压组、100 Hz TEAS结合腕带按压组和2 Hz/100 Hz TEAS结合腕带按压组

每组20例(术后常规护理组脱落1例)。各组均行腹腔镜下胆囊切除术

在手术后均给予常规护理。术后常规护理组仅接受常规护理

余3组患者在术后常规护理基础上

在术后苏醒即刻分别采用2 Hz TEAS结合腕带按压、100 Hz TEAS结合腕带按压、2 Hz/100 Hz TEAS结合腕带按压刺激内关穴进行治疗

每次治疗30 min

共治疗4次。观察记录各组患者术后0～2 h、2～8 h、8～24 h及24～48 h各个时间段PONV发生率

并评估患者PONV严重程度及术后疼痛程度。结果:与术后常规护理组相比

2 Hz/100 Hz TEAS结合腕带按压组在术后4个时间段均能明显降低患者PONV发生率及严重程度(均P<0.05)

2 Hz TEAS结合腕带按压组与100 Hz TEAS结合腕带按压组在术后2 h及2～8 h时间段能显著减轻患者PONV发生率与严重程度(均P<0.05)

术后8 h、术后24 h时100 Hz TEAS结合腕带按压组与2 Hz/100 Hz TEAS结合腕带按压组均能减轻患者术后疼痛(均P<0.05)。结论:不同频率TEAS结合腕带按压刺激内关穴对腹腔镜胆囊切除术患者PONV都有一定的治疗效应

2 Hz/100 Hz TEAS结合腕带按压刺激内关穴对腹腔镜胆囊切除术患者PONV治疗效果更明显。2 Hz/100 Hz TEAS与100Hz TEAS结合腕带按压刺激内关穴对腹腔镜胆囊切除术患者均具有术后镇痛效应

2Hz/100Hz TEAS镇痛效应更佳。

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