文章摘要
明伟,刘尚昆,陈罡,代恒茂,李世勇.甲状腺术后苏醒期恶心呕吐女性患者柠檬精油嗅吸联合内关穴按压的效果[J]同济医院杂志社,2026,41(5):41-43+52
甲状腺术后苏醒期恶心呕吐女性患者柠檬精油嗅吸联合内关穴按压的效果
The effect of lemon essential oil inhalation combined with Neiguan acupressure on nausea and vomiting in female patients during the emergence period after thyroidectomy
投稿时间：2025-10-10  修订日期：2025-12-12
DOI：10.3870/j.issn.1001-4152.2026.05.041
中文关键词: 甲状腺手术；女性；麻醉苏醒期；恶心；呕吐；柠檬精油；内关穴；麻醉护理
英文关键词: thyroidectomy;female;emergence from anesthesia;nausea;vomiting;lemon essential oil;Neiguan acupoint;anesthesia nursing
基金项目:科研项目：2023年华中科技大学同济医学院附属同济医院科研基金护理专项项目（2023C05）；2023年度华中科技大学同济医学院护理学院自主创新项目（ZZCX2023T009）
明伟,刘尚昆,陈罡,代恒茂,李世勇
华中科技大学同济医学院附属同济医院1.麻醉科2.护理部(湖北 武汉，430030)
;华中科技大学同济医学院附属同济医院麻醉科
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中文摘要:
      目的 观察柠檬精油嗅吸联合内关穴按压对甲状腺全麻术后女性患者苏醒期恶心呕吐的干预效果。 方法 选取甲状腺全麻术后苏醒期发生恶心呕吐的80例女性患者，采用随机数字表法分为两组各40例。单一组给予内关穴按压、联合组给予柠檬精油嗅吸联合内关穴按压。比较两组患者干预后10 min、20 min、30 min（T1、T2、T3）恶心呕吐干预效果。 结果 在T1、T2、T3时，联合组恶心呕吐严重程度评分显著低于单一组；T2、T3时，联合组恶心呕吐频率评分显著低于单一组；T3时，联合组恶心呕吐评级显著优于单一组（均P＜0.05）。 结论 柠檬精油嗅吸联合内关穴按压可以缓解甲状腺术后女性患者苏醒期恶心呕吐。
英文摘要:
      Objective To explore the effect of lemon essential oil inhalation combined with Neiguan acupressure on postoperative nausea and vomiting (PONV) during emergence from anesthesia in female patients following total thyroidectomy under general anesthesia. Methods A total of 80 female patients who experienced PONV during emergence from anesthesia after total thyroidectomy were recruited and randomly divided into two groups using a random number table, with 40 in each group.The single-intervention group received Neiguan acupressure alone, while the combination group received lemon essential oil inhalation combined with Neiguan acupressure.The intervention effects were compared between the two groups at 10, 20, and 30 minutes after intervention (T1,T2,T3). Results At T1, T2, and T3, the severity scores of PONV in the combination group were significantly lower than those in the single-intervention group.At T2 and T3, the frequency scores of PONV in the combination group were significantly lower than those in the single-intervention group.At T3, the overall PONV rating in the combination group was significantly milder than that in the single-intervention group (all P＜0.05). Conclusion Lemon essential oil inhalation combined with Neiguan acupressure can alleviate PONV during emergence from anesthesia in female patients after thyroid surgery.
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