按压合谷、内关穴防治心胸外科全麻术后恶心与呕吐的效果

目的探讨心胸外科全麻术后患者采用按压合谷、内关穴的方法防治术后恶心、呕吐（PONV）的效果。方法将心胸外科手术全麻病史的患者60例，随机分为对照组和护理干预组，每组30例。对照组按全麻手术护理常规执行；护理干预组在全麻手术护理常规的基础上，术后2d内采用按压双侧合谷、内关穴的方法，观察比较患者术后恶心、呕吐症状。结果护理干预组术后恶心、呕吐的发生率显著低于对照组，差异有统计学意义（P〈0．01）。结论按压合谷、内关穴对心胸外科全麻术后恶心、呕吐具有明显的防治作用，值得临床推广应用。

Effect of pressing Hegu acupoint and Neiguan acupoint in preventing PONV in patients after cardiothoracic surgery by general anesthesia

Objective To observe the preventive and therapeutic effect of pressing Hegu acupoint and Neiguan acupoint in patients after general anesthesia in cardiothoracic surgery who got postoperative nausea and vomiting (PONV). Methods 60 cases of patients with a history of general anesthesia cardiothoracic surgery were randomly divided into 2 groups, 30 cases in either group. Control group received routine anesthesia nursing care; care intervention group, routine anesthesia nursing care basically meanwhile pressing bilateral Hegu and Neiguan acupoints 2 days after operation. Postoperative nausea and vomiting symptom in the two groups were observed and compared. Results The incidence of postoperative nausea and vomiting in the care intervention group was significantly lower than the control group (P <0. 01). Conclusions Pressing the acupoints of Hegu and Neiguan will get obviously preventive and therapeutic effects in patients of postoperative nausea and vomiting symptom after general anesthesia cardiothoracic surgery.