[1]赵汝顺 郝阳泉 李辉刘鑫宇文星 鲁超 郭浩.耳穴贴压联合甲氧氯普胺治疗全髋关节 置换术后恶心呕吐临床研究[J].陕西中医药大学学报,2024,(05):113-117.[doi:10.13424/j.cnki.jsctcm.2024.05.019]
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耳穴贴压联合甲氧氯普胺治疗全髋关节 置换术后恶心呕吐临床研究()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2024年05期
页码:
113-117
栏目:
出版日期:
2024-09-09

文章信息/Info

文章编号:
2096-1340(2024)05-0113-05
作者:
赵汝顺1 郝阳泉2 李辉1刘鑫2宇文星2 鲁超2 郭浩2
1.陕西中医药大学，陕西 咸阳 712000；
2.西安交通大学附属红会医院，陕西 西安 710054
关键词:
关键词：全髋关节置换术; 耳穴贴压; 甲氧氯普胺; 恶心呕吐; 睡眠障碍
分类号:
R245.32+3
DOI:
10.13424/j.cnki.jsctcm.2024.05.019
文献标志码:
A
摘要:
摘 要：目的 观察耳穴贴压联合甲氧氯普胺对全髋关节置换术(total hip arthroplasty,THA)术后恶心呕吐（postoperative nausea and vomiting，PONV）的临床疗效。方法 采用前瞻性研究分析2021年6月—2022年3月于西安市红会医院骨坏死与关节重建病区进行全髋关节置换的患者120例。治疗组男24例，女36例，平均年龄（66.40±9.79）岁；对照组男26例，女34例，平均年龄（67.18±8.53）岁。治疗组在术后1 h内对耳部穴位进行贴压，按压贴敷部位2 min，分别记录两组患者发生PONV情况、发生PONV次数、使用甲氧氯普胺（胃复安）次数、记录术后6 h、12 h、24 h、48 h患者恶心呕吐程度的VAS评分、采用ISI评价两组患者术后3 d睡眠质量及患者满意程度情况。结果 治疗组患者术后PONV发生率降低，两组患者术后PONV次数、使用甲氧氯普胺次数比较有统计学差异（P＜0.05）；两组患者术后6 h、12 h、24 h恶心呕吐的VAS评分比较无统计学差异（P＞0.05），术后48 h恶心呕吐的VAS评分比较有统计学差异（P＜0.05）；两组患者术后第1 d、术后第2 d的ISI比较无统计学差异（P＞0.05），术后第3 d的ISI比较有统计学差异（P＜0.05）；两组患者的满意评分比较有统计学差异（P＜0.05）。结论 耳穴贴压联合甲氧氯普胺对初次THA患者术后PONV情况有一定缓解作用，可以加速患者术后康复。

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备注/Memo

备注/Memo:
基金项目：陕西省中医药管理局中西医结合临床协作创新项目（2020-ZXY-010）
更新日期/Last Update: 2024-09-09