| ObjectiveBy observing the clinical efficacy of three different inhalation methods of ginger lemon to prevent postoperative nausea and vomiting(PONV),a scientific basis was provided for the clinical prevention of postoperative nausea and vomiting in order to explore a more accurate intervention method.MethodsThis study is a clinical randomized controlled study.90 patients with elective orthopedic surgery were selected to meet the exclusion criteria from January 2018 to December 2018 in Guangdong Provincial Hospital,the patients were randomly divided into slices sniffing group(Group A),Aromatherapy Group(Group B),Aerosol Group(Group C),30 cases in each group by using stochastic Digital table method.In the 3 groups of patients,except for the same basic treatment and nursing,the patients in group A were given a lemon and ginger slices immediately after returning to the ward(about 0.5 cm thick),and replaced at intervals of 30 min for 6 hours;in Group B,ginger and lemon juice of the same weight in the slicing group were placed in the aromatherapy machine and placed on the patient' s pillow for 6 hours;group C will be Ginger lemon aerosol spray in the mouth and yingying hole,each time about 0.4ml,each interval 10min,the length of 6 hours.Patients were collected before surgery and the nausea,vomiting,and retching symptoms were assessed using the Index of Nausea and Vomiting and Retching(INSR);the first postoperative anus exhaust time was recorded in three groups of patients,and the changes of ponv incidence and nausea and vomiting degree were observed and recorded in each group of patients during the four time period of 0-4h,4-8h and 8-12h,12-24h,and appetite score was used to evaluate appetite.On the 1th and 3rd days after operation,the symptoms of nausea,dry nausea and vomiting were evaluated by INVR scale,and the adverse reactions of patients in each group were recorded by using the adverse reaction observation table.Data were used for input and statistical analysis using SPSS 20.0.Results1.Effects of three different inhalation methods on the incidence of POVN and the degree of nausea and vomiting(1)The effect on the incidence of POVN:?group comparison:Postoperative 0-4h,the incidence of PONV in the three groups was not the same,the difference was statistically significant(P<0.05),and the comparison among the other three time periods.There was no significant difference in the difference(P>0.05).There was no significant difference in the total incidence of PONV between 0-24h(P>0.05),but the total incidence of PONV in group B was lower than that in the other two groups;?the incidence of PONV in group B was significantly lower than that in group A(P<0.05).The difference between group A and group C,group B and group C was not obvious.There was no significant difference in the rate difference(P>0.05).In the 4-8h,8-12h and 12-24h time periods,the multiple comparisons of A,B and C groups did not reach significant levels(P>0.05);The effect on the degree of nausea and vomiting;(2)There was a statistically significant difference in the degree of nausea and vomiting between the three groups(P<0.05).In the two groups,the degree of nausea and vomiting in group B was lower than that in group A,and the difference was significant(P<0.05).There was no statistical difference between group A and group C,group B and group C(P>0.05).2.Effects of three different inhalation methods on the INVR score(1)Inter-group comparison:On the first postoperative day,there was a statistically significant difference between the scores of nausea and INRV(P<0.05),and there was no significant difference in the scores of retching and vomiting(P>0.05).On the third day,the difference between the INRV score and the scores of the three groups did not reach a significant level(P>0.05).(2)Multiple comparisons:On the first day after operation,the scores of the total score of INVR and nausea in group B were significantly better than those in group A and C,the difference was significant(P<0.05),and the difference between group A and group C was not obvious.(P>0.05);There was no statistical difference between the total score of INVR and the scores of each dimension on the 3rd day after operation(P>0.05).(3)The main effect of time and the interaction between time and intervention:the main effect of the total score of INVR and the scores of each dimension(P<0.001),that is,without considering the intervention factors,the total score of INVR and the score of each dimension of the three groups changed with time.The change;the relationship between the duration of the INVR total score and the nausea symptom score and the intervention factor(P<0.001),the scores of the INVR total score and the nausea symptom score of the three groups were different with time.3.Effects of three different inhalation methods on gastrointestinal function(1)Comparison of first exhaust time:The first anal exhaust time did not have statistically significant difference between the three groups(P>0.05),but the anus exhaust(5.37±1.50)in group B was better than that in group A(5.87±1.31).And group C(5.67±1.37)early;(2)Comparison of appetite:There was no significant difference in appetite score between the three groups(P>0.05).The comparison of appetite scores between 4-8h and 0-4h in each group showed no significant difference(P>0.05),while the appetites of 8-12h and 12-24h in the three groups were higher than the previous time.The segment was improved,the difference was3.Effects of three different inhalation methods on gastrointestinal function(1)Comparison of first exhaust time:The first anal exhaust time did not have statistically significant difference between the three groups(P>0.05),but the anal exhaust time(5.37+1.50)in group B was better than that in group A(5.87±1.31).And group C(5.67±1.37)early;the time main effect of appetite score was statistically significant(P<0.01),indicating that the intervention factor was excluded,and the appetite score changed with time;(2)Comparison of appetite:?There was no significant difference in appetite score between the three groups(P>0.05);?the comparison of appetite scores between 4-8h and 0-4h in each group showed no significant difference(P>0.05),while the appetites of 8-12h and 12-24h in the three groups were higher than the previous time.The segment was improved,the difference was statistically significant(P<0.01);?the appetite grades of the three groups were negatively correlated with time(P<0.01),that is,the appetite condition improved with time and the group A The trend of appetite levels over time is more pronounced.statistically significant(P<0.01);the appetite grades of the three groups were negatively correlated with time(P<0.01),that is,the appetite condition improved with time and the group A The trend of appetite levels over time is more pronounced.4.Adverse ReactionsNo intervention-related adverse reactions occurred throughout the study.Conclusion1.In the early postoperative stage,the ginger Lemon aromatherapy inhalation method was significantly better than the slice sniffing in reducing the incidence of PONV and improving the degree of postoperative nausea and vomiting;2.Ginger lemon aromatherapy is more effective than other two methods of inhalation to improve postoperative nausea;3.In terms of promoting the recovery of gastrointestinal function,ginger three different inhalation methods have certain effects,and the aromatherapy effect is relatively better;4.Ginger lemon inhalation is used for the prevention of postoperative nausea and vomiting,no adverse reactions occur,and the safety is high. |
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