【摘要】：目的:探討醋調(diào)吳茱萸薄荷粉穴位貼敷天突、內(nèi)關(guān)、合谷聯(lián)合耳穴療法對(duì)氣管插管全麻術(shù)后咽痛臨床療效。方法:將符合條件的2016年11月-2017年3月于廣東省中醫(yī)院施行氣管插管全麻的患者100例按隨機(jī)數(shù)字表法分為觀察組和對(duì)照組,各50例。觀察組于術(shù)前1d進(jìn)行耳穴貼壓取穴位:神門、交感、咽喉、屏間前,并于手術(shù)當(dāng)天麻醉開始前給予吳茱萸薄荷貼敷天突、雙側(cè)內(nèi)關(guān)、雙側(cè)合谷穴,觀察比較兩組術(shù)后清醒(0h)及術(shù)后24h患者的咽痛及伴隨癥狀療效。結(jié)果:觀察組患者全麻術(shù)后清醒時(shí)(0h)及術(shù)后24h惡心、嘔吐次數(shù)明顯少于對(duì)照組,24h咽痛評(píng)分低于對(duì)照組,術(shù)后舒適評(píng)分高于對(duì)照組(P0.01,P0.05)。結(jié)論:醋調(diào)吳茱萸薄荷粉穴位貼敷聯(lián)合耳穴療法有利于緩解氣管插管全麻術(shù)后患者的咽痛及咽喉伴隨癥狀,增加術(shù)后舒適感,對(duì)全麻術(shù)后咽痛患者有預(yù)防及干預(yù)效果。
[Abstract]:Objective: to investigate the clinical effect of vinegar-adjusted Evodia rutaecarpa menthol powder on pharynx pain after tracheal intubation after general anesthesia. Methods: 100 patients with tracheal intubation under general anesthesia were divided into observation group and control group according to random digital table method from November 2016 to March 2017 in Guangdong Provincial Hospital of traditional Chinese Medicine, 50 cases in each group were divided into two groups: control group (n = 50) and control group (n = 50). In the observation group, auricular acupoints were applied and pressed 1 day before operation: Shenmen, sympathetic, pharynx, interscreen, and on the day of anesthesia, Evodia rutaecarpa menthol was applied to Tianjie, Neiguan on both sides and Hegu on both sides. To observe and compare the curative effect of pharynx pain and associated symptoms between the two groups. Results: the number of nausea and vomiting in the observation group was significantly lower than that in the control group at the time of waking up (0 h) and 24 h after general anesthesia, and the score of pharynx pain at 24 h was lower than that in the control group, and the postoperative comfort score was higher than that in the control group (P 0.05). Conclusion: the application of vinegar to Evodia rutaecarpa mint powder and auricular point therapy is beneficial to relieve the pharynx pain and the associated symptoms of pharynx and larynx after tracheal intubation general anesthesia, increase the postoperative comfort, and have the effect of prevention and intervention for the patients with pharynx pain after general anesthesia.
【作者單位】： 廣州中醫(yī)藥大學(xué)第二附屬醫(yī)院麻醉科;廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;
【基金】：廣東省中醫(yī)藥管理局項(xiàng)目(No.20151225)~~
【分類號(hào)】：R614

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