Tang Ling,Du Zhen,Zhou Min,et al.Improvements of gastrointestinal function and analgesic outcome after laparoscopy under general anesthesia in children[J].Journal of Clinical Pediatric Surgery,,():665-671.[doi:10.3760/cma.j.cn101785-202403049-011]
Improvements of gastrointestinal function and analgesic outcome after laparoscopy under general anesthesia in children
- Keywords:
- Pain; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the effects of auricular point compression on gastrointestinal function and analgesia after laparoscopy under general anesthesia in children.Methods For this prospective study.60 hospitalized children undergoing laparoscopy under general anesthesia at Department of General Surgery ward were selected as study subjects from October 2023 to February 2024.They were randomized into two groups of aural acupoint compression (O) and control (C) (n=30 each).Ondansetron and dexamethasone were dosed intraoperatively for preventing postoperative nausea and vomiting (PONV).In group O,ear point tape was applied pre-operation.In group C,0.5 cm×0.5 cm tape was directly affixed to bilateral acupoints pre-operation.Time of tracheal catheter withdrawal (t1) and 0-2 h post-operation were recorded.PONV incidence,nausea,vomiting and retching grade,postoperative pain score,gastrointestinal function recovery,adverse reactions,occurrence of adverse events and family satisfaction at 0-2 h (t2),2-6 h (t3),6-12 h (t4),12-24 h (t5) and 24-48 h post-operation (t6).Results The incidence of PONV in groups O and C was 1(3.6) and 8(28.6) at t1 and 5(17.9) and 13(46.4) at t2.Effective rate of anti-vomiting at 12 h post-operation was 96.4%(27/28) and 78.5%(22/28).Postoperative pain score was 0(0,1) and 2(1,3) at t1,2(1,3) and 3(2,3) at t2,1(0,2) and 2(2,2) at t3 and t4 0(0,0) and 0(0,1).Initial anal exhaust time was 7(5,8) and 9(8,10) h and postoperative extubation time 25(20,28) and 28(25,30) min.Duration of resuscitation room was 40(30.5,40) and 48(45,50) min and postoperative satisfaction 16(57.1) and 5(17.8).There was no difference of statistical significance (P<0.05).In groups O and C,the incidence of PONV was 0(0) and 5(17.9) at t3.Effective rates of anti-nausea at 12 h was 96.4%(27/28) and 82.1%(23/28) and effective rates of anti-retching at 12 h post-operation 96.4%(27/28) and 92.8%(26/28).The incidence of postoperative adverse reactions was 6(21.4) and 9(32.1).There was no difference of statistical significance (P>0.05).No nausea,vomiting or retching occurred at 24 h post-operation in neither groups.Conclusions Auricular point compression may alleviate gastrointestinal reactions after laparoscopy,promote the recovery of gastrointestinal function and effectively relieve postoperative pain in children.There are no obvious adverse reactions.With a low incidence of postoperative adverse events,it obtains satisfaction of both children and their families.
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Memo
收稿日期:2024-3-26。
基金项目:湖南省科技厅临床技术创新引导计划项目(2021SK50506);湖南省自然科学基金医卫行业联合基金项目(2024JJ9342)
通讯作者:唐玲,Email:lop3456p@163.com