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| Clinical observation of nèiguān point pressing combined with Dexmedetomidine in preventing nausea and vomiting after strabismus correction surgery in children#br# |
| LIU Yang WU Hao TAN Lei▲ |
| Department of Anesthesiology, the Affiliated Suqian First People’s Hospital of Nanjing Medical University, Jiangsu Province, Suqian 223800, China |
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Abstract Objective To observe the effect of nèiguān point pressing combined with Dexmedetomidine in preventing nausea and vomiting after strabismus correction surgery in children. Methods A total of 90 cases of strabismus correction surgery under general anesthesia in the Affiliated Suqian First People’s Hospital of Nanjing Medical University from January 2018 to July 2021 were selected as research objects. According to the random number table method, they were divided into three groups, with 30 cases in each group. In group A, Dexmedetomidine was given nasal drops in the operating room 10 min before induction of anesthesia; in group B, acupressure wrist bands were placed at nèiguān point on both forearms immediately after anesthesia induction until 24 h after surgery; in group C, Dexmedetomidine was given nasal drops in the operating room 10 min before anesthesia induction, and acupressure wrist bands were placed at nèiguān point on both forearms immediately after anesthesia induction until 24 h after surgery. The incidence of intraoperative ocardial reflex, Atropine use and traction cessation were observed; operation time was recorded; the incidence of nausea and vomiting 24 h after surgery and the duration of postanesthesia care unit (PACU) were recorded. Results There were no significant differences in the incidence of intraoperative ocardial reflex, Atropine use and traction cessation among three groups (P > 0.05). There were no significant differences in operation time and the duration of PACU among three groups (P > 0.05). The incidence of nausea and vomiting in group C were lower than that in group A and B, and the differences were statistically significant (P < 0.017). Conclusion Nèiguān point pressing combined with Dexmedetomidine pretreatment can effectively reduce the incidence of postoperative nausea and vomiting and provide safe and comfortable medical guarantee for strabismus children.
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