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《Chinese Journal of Clinical Medicine》 2018-04
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Effect of magnetic auricular acupressure combined with antiemetic drugs on postoperative nausea and vomiting in patients undergoing thyroidectomy

GUO Chen-yue;YANG Li;XU Ya-jun;MIAO Chang-hong;LOU Fei-fei;Department of Anesthesiology,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University;  
Objective:To explore the efficacy of magnetic auricular acupressure combined with antiemetic drugs on postoperative nausea and vomiting(PONV)in patients undergoing thyroidectomy.Methods:Totally 46 patients undergoing thyroidectomy were randomly assigned into multi-mode group(M group,n=23)receiving magnetic auricular acupressure combined with granisetron and dexamethasone,and single-mode group(S group,n=23)receiving only granisetron and dexamethasone.The incidences of PONV at 0-2 h,2-6 h,6-24 h,and 0-24 hafter operation and visual analogue scale(VAS)scores at 2,6,24 hafter operation were compared between two groups.Results:A total of 23 cases in M group and 20 cases in S group completed the study.The general characteristics,surgery time and anesthesia time were not significantly different between two groups.No significant differences were found in history of PONV,motion sickness,and smoking between two groups.There was no significant difference in dosage of sufentanil between groups.The incidences of nausea at 0-2 h,2-6 h,6-24 hand 0-24 hafter operation in M group were significantly lower than those in S group(all P0.05),and the incidences of vomiting at 0-2 hand 0-24 hafter operation in M group were also significantly lower than those in S group(both P0.05).The patient satisfaction of PONV management in M group was enhanced compared with that in S group(P=0.004).There was no significant difference between groups in using antiemetic drug.The VAS scores at 2 hand 6 hafter operation were significantly lower in M group than those in S group(both P0.05),while there was no significantly different at 24 hafter operation.The extubation time,response time to instruction,and recovery quality score at 24 hafter operation were not statistically different between two groups.Conclusions:Compared with single drug mode,multi-modes strategy such as magnetic auricular acupressure combined with antiemetic drugs can significantly reduce the incidence of PONV and relieve the early postoperative pain in patients undergoing thyroidectomy.
【CateGory Index】: R653
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