摘要
目的探讨内关穴电刺激在年龄相关性白内障(ARC)术中的应用效果,为临床防范术后恶心呕吐(PONV)提供更多选择。方法选取2021年8月—2023年10月于河北省眼科医院、河北省第一荣军优抚医院接受超声乳化(Phaco)联合人工晶体植入术(IOL)治疗的ARC患者103例,采用随机数字表法将患者分为试验组(52例)和基线组(51例)。2组均给予丙美卡因表面麻醉,基线组进行常规宣教及药物干预,试验组在基线组的基础上进行内关穴电刺激干预。统计2组术后PONV发生情况,比较2组术后中文版恶心呕吐干呕症状量表(INVR)评分,手术前后眼压、血清胃动素(MTL)、胃泌素(GAS)水平,患者满意度。结果试验组术后6 h内、术后6~24 h恶心发生率及恶心和呕吐的总发生率均低于基线组(P<0.05);术后6、24 h试验组眼压均低于基线组(P<0.05);术后6、12、24 h试验组INVR评分均低于基线组(P<0.05);2组术后12 h MTL、GAS均低于同组术前,但试验组均高于基线组(P<0.05);试验组患者满意度(98.08%,51/52)高于基线组(84.31%,43/51,P<0.05)。结论内关穴电刺激有助于稳定ARC患者的眼压及胃肠功能,降低PONV发生风险,提升患者满意度。
ObjectiveTo explore the application of electrical stimulation on Neiguan acupoint in agerelated cataract(ARC)surgery to provide more options for preventing postoperative nausea and vomiting(PONV)in clinical settings.MethodsA total of 103 ARC patients who underwent phacoemulsification(Phaco)combined with intraocular lens implantation(IOL)surgery at the Ophthalmology Hospital of Hebei Province and the First Rongjun Youfu Hospital of Hebei Province from August 2021 to October 2023 were selected.The patients were randomly divided into an experimental group(n=52)and a baseline group(n=51)using a random number table method.All patients were given promecaine surface anesthesia,the baseline group received routine education and drug intervention,and the experimental group received the intervention of electrical stimulation of Neiguan acupoint on the basis of the baseline group.The incidence of PONV was analyzed in the two groups.Index of nausea and vomiting and retching(INVR)score,intraocular pressure,levels of serum motilin(MTL)and gastrin(GAS)before and after surgery,and patient satisfaction were compared between the two groups.ResultsThe incidence of nausea and the total incidence of nausea and vomiting in the experimental group were lower than those in the baseline group within 6 hour and 6-24 hour after surgery(P<0.05).At 6 hours and 24 hours after surgery,the intraocular pressure of the experimental group was lower than that of the baseline group(P<0.05).The INVR score of the experimental group was found to be significantly lower compared to the baseline group at the 6 hour,12 hour,and 24 hour time points following the operation(P<0.05).The levels of MTL and GAS at 12 hour after the operation showed a decrease in both groups compared to preoperation levels.However,the experimental group exhibited higher levels compared to the baseline group(P<0.05).The level of satisfaction in the experimental group was 98.08%(51/52),which was significantly higher than the 84.31%(43/51)satisfaction level in the baseline group(P<0.05).ConclusionThe electrical stimulation of Neiguan acupoint can help stabilize intraocular pressure and gastrointestinal function in ARC patients,reduce the risk of PONV occurrence,and improve patient satisfaction.
作者
张李向
王立芳
董萍
李芳
ZHANG Lixiang;WANG Lifang;DONG Ping;LI Fang(General Internal Medicine Department of the First Rongjun Youfu Hospital in Hebei Province,Xingtai,Hebei 054000,China;不详)
出处
《中华全科医学》
2024年第9期1526-1529,共4页
Chinese Journal of General Practice
基金
河北省卫生健康委科研基金项目(20191053)
河北省中医药管理局科研计划项目(2020554)。
关键词
年龄相关性白内障
内关穴电刺激
术后恶心呕吐
超声乳化
人工晶体植入术
Agerelated cataract
Electrical stimulation of Neiguan acupoint
Postoperative nausea and vomiting
Phacoemulsification
Intraocular lens implantation
