Investigating The Clinical Prevention Effects Of Wuzhuyu During Postoperative Nausea Or Vomiting After Gynecologica Operation

Object ivesTo observe the effect of acupoint sticking therapy preventing and controlling of postoperative nausea and vomiting (PONV) after gynecologic laparoscopy, and to investigate the relevant factors, search for the prevention strategy of postoperative nausea and vomiting.MethodsThe research had collected130patients who had underwent gynecologic laparoscopy in Guangdong hospital of traditional Chinese medicine during June2011to March2012.The female patients who were schedule for elective gynecologic laparoscopy, acording to the principle of random allocation to groups average:the treatment group was66cases and the control group was64cases. The patient in the treatment group were treated with WuZhuYu add ginger juice which posted in Nei Guang (both), Zu San Li (both). The control group were treated with red rice flour, black rice flour, corn flour which ratiod to1:1:1. Both groups were received acupoint sticking of four hours after surgery, and again after the next three days at eight o’clock. Observed the occurrence of PONV (standard of WHO, nausea visual analog seale), requirement of rescue method and adverse reactions were recorded at postoperative0-6h,6-24h,24-48h,and48-72h, respectively. To detect the relevant factors of the syndrome of postoperative nausea and vomiting after the operation.ResultsThough SPSS13.0analyzing: 1. The treatment group incidence of PONV were significantly lower than the control group time between postoperation0-6h and6-24h(P<0.05). The two groups time between postoperation0-6h and6-24h of standard of WHO and NVAS score compared with clear statistical significance, P<0.05, promt ing the acupoint sticking therapy relieve postoperative nausea and vomiting after gynecologic laparoscopy and reduce rate of PONV, especially in postoperative24h.2. Requirement of rescue method between the two groups had no significant difference, promting the treatment group could not relieve severe vomiting.3. Analysis showed rate of PONV with more bleeding volume was lower than those with less bleeding volume and the difference had statistical sense, P<0.05. The age of patients, transfusion, body mass index, duration of the operation, type of surgery have no significant association with PONV,P<0.05.ConclusionWuZhuYu add ginger juice which posted in Nei Guang and Zu San Li reduce the incidence and degree of PONV, especially in postoperative24h.The treatmemt facilitated their postoperative recovery and raised their living quality.It should be of clinical significance and be appropriate for general application.