Impact of Neiguan acupoint massage combined with chewing gum on the nursing outcomes of patients undergoing day-case laparoscopic cholecystectomy_West China Medical Journal

Authors：

DU Jiaojiao , SHUI Hongmei , YE Anqi , ZHANG Han ,  HUANG Mingjun

Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

HUANG Mingjun, Email: hmj123123@126.com

Keywords：

Neiguan acupoint massage; chewing gum; laparoscopic cholecystectomy; day surgery; nursing quality; postoperative nausea and vomiting

DOI：

10.7507/1002-0179.202412204

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the nursing effect of using Neiguan acupoint massage combined with chewing gum in patients undergoing day-case laparoscopic cholecystectomy. Methods A prospective study was conducted on patients who underwent day-case laparoscopic cholecystectomy in West China Hospital of Sichuan University between March 2023 and March 2024. The patients were randomly divided into the control group and the intervention group according to a random number table. The control group received routine care, while the intervention group received chewing gum and Neiguan acupoint massage intervention at the P6 acupoint in addition to routine care. The incidence of postoperative nausea and vomiting (PONV), pain scores, gastrointestinal function recovery time, medication use, and hospitalization related indicators were compared between the two groups of patients after surgery. Results A total of 298 patients were included. Among them, there were 163 cases in the control group and 135 cases in the intervention group. The incidence of PONV at 0.5 and 2 hours after surgery and the pain scores at 6, 12, and 24 hours after surgery in the intervention group were lower than those in the control group (P<0.05). The first bowel sounds recovery time, anal exhaust time, and eating time in the intervention group were shorter than those in the control group (P<0.05). Twenty-four hours after surgery, the usage rate of analgesic drugs (6.67% vs. 14.11%) and the usage rate of rescue antiemetic drugs (2.96% vs. 8.59%) in the intervention group were lower than those in the control group (P<0.05). There was no statistically significant difference in the delayed discharge rate or total cost between the two groups (P>0.05). The nursing satisfaction of the intervention group was higher than that of the control group (99.26% vs. 93.25%, P<0.05). Conclusions After the combination of Neiguan acupoint massage and chewing gum intervention in patients undergoingin day-case laparoscopic cholecystectomy, the PONV incidence and pain are significantly reduced, gastrointestinal functions recover faster, drug use rate is low, patient nursing satisfaction is high. This method can be promoted and applied.

Citation： DU Jiaojiao, SHUI Hongmei, YE Anqi, ZHANG Han, HUANG Mingjun. Impact of Neiguan acupoint massage combined with chewing gum on the nursing outcomes of patients undergoing day-case laparoscopic cholecystectomy. West China Medical Journal, 2025, 40(2): 205-210. doi: 10.7507/1002-0179.202412204 Copy

1.	張美桃, 張敏. 手術室路徑式護理對老年結石性膽囊炎腹腔鏡膽囊切除術患者術后恢復及并發癥的影響. 生命科學儀器, 2023, 21(增刊 1): 429.
2.	程倩, 郭愛紅, 楊曉蕾. 基于認知評價理論的護理干預對腹腔鏡膽囊炎手術患者術后康復的影響. 國際護理學雜志, 2023, 42(7): 1278-1282.
3.	靳雪, 馬慧, 劉田田. 循證護理對膽囊結石腹腔鏡手術患者的影響. 齊魯護理雜志, 2022, 28(12): 46-49.
4.	梁鵬. 麻醉醫師在日間手術全流程管理中的作用. 實用醫學雜志, 2024, 40(8): 1031-1037.
5.	倪宏, 劉玉, 覃惠英, 等. 化療相關性惡心嘔吐的非藥物干預研究進展. 護理研究, 2020, 34(20): 3674-3677.
6.	李丹, 蔣靜, 陳旭, 等. 腕踝針結合穴位貼敷在膽囊結石伴膽囊炎患者圍術期胃腸道反應中的護理效果. 國際護理學雜志, 2024, 43(16): 3033-3037.
7.	吳覓之, 潘紅英, 王珍, 等. 基于數據挖掘的術后惡心、嘔吐病人選穴規律分析. 護理研究, 2020, 34(8): 1338-1341.
8.	張媛媛, 汪茜雅, 鈕美娥, 等. 咀嚼口香糖對結腸鏡檢查患者腸道準備效果及不良反應影響的 Meta 分析. 臨床消化病雜志, 2018, 30(3): 170-176.
9.	黃陳, 楊麗, 趙蓉, 等. 加速康復外科在促進日間手術多維度發展中的應用. 中國醫院管理, 2020, 40(2): 47-49.
10.	中華人民共和國國家質量監督檢驗檢疫總局, 中國國家標準化管理委員會. GB/T 12346-2021 經穴名稱與定位. 北京: 中國標準出版社, 2021.
11.	Jin Z, Gan TJ, Bergese SD. Prevention and treatment of postoperative nausea and vomiting (PONV): a review of current recommendations and emerging therapies. Ther Clin Risk Manag, 2020, 16: 1305-1317.
12.	Abdelkarim H, Ciampoli N, Zwakman-Hessels L, et al. Chewing gum prophylaxis for postoperative nausea and vomiting in the intensive care unit: a pilot randomised controlled trial. Crit Care Resusc, 2023, 22(4): 321-326.
13.	王水玲, 王甜. 延續護理在腹腔鏡下膽囊切除日間手術患者中的應用. 檢驗醫學與臨床, 2020, 17(12): 1760-1762.
14.	李之婷, 顧俊婷, 夏凌云, 等. 口香糖在護理中的研究進展和未來展望. 軍事護理, 2024, 41(7): 82-85.
15.	朱惠剛, 左艷菊, 劉東升, 等. 術前口服碳水化合物對膽囊結石微創手術圍術期應激反應及術后胃腸功能恢復的影響. 安徽醫藥, 2022, 26(4): 819-823.
16.	姜丹, 呂曉嬌, 任麗娜, 等. PACU 患者發生術后惡心嘔吐的危險因素分析及護理策略. 空軍醫學雜志, 2020, 36(6): 540-542.
17.	李秀英, 李玉芹. 循證護理對甲狀腺術后惡心、嘔吐患者的影響. 齊魯護理雜志, 2020, 26(6): 59-61.
18.	Balabolu M, Abuji K, Soni SL, et al. Effect of preoperative carbohydrate drink and postoperative chewing gum on postoperative nausea and vomiting in patients undergoing day care laparoscopic cholecystectomy: a randomized controlled trial. World J Surg, 2023, 47(11): 2708-2717.
19.	Lv JQ, Wang C, Yang Y, et al. Intradermal thumbtack needle buried Neiguan (P6) point for prevention of postoperative nausea and vomiting in patients undergoing craniotomy: study protocol for a randomised controlled trial. BMJ Open, 2019, 9(11): e032417.
20.	張然, 李莉, 張泊寧, 等. 咀嚼口香糖對急性闌尾炎術后患兒胃腸功能快速康復的效果. 中國醫藥導報, 2023, 20(36): 161-164.
21.	何科茗. 咀嚼口香糖聯合右美托咪定滴鼻在結腸鏡檢查腸道準備及快速康復中的應用. 中國實用護理雜志, 2023, 39(5): 321-325.
22.	趙梓佳, 趙丹, 陳碧賢, 等. 術后惡心和嘔吐非藥物管理的最佳證據總結. 護理學報, 2021, 28(11): 33-39.
23.	吳婷, 黃孟秋, 侯云霞, 等. 穴位按摩對化療相關性惡心嘔吐干預效果的 Meta 分析. 護理管理雜志, 2020, 20(2): 94-98.
24.	王群, 劉寧寧, 王連主, 等. 撳針刺激雙側足三里穴、內關穴對腹腔鏡下膽囊切除術后胃腸功能的影響. 臨床麻醉學雜志, 2021, 37(5): 494-497.
25.	孫敬敬. 情志干預結合生姜內關穴貼敷改善妊娠劇吐的效果及對孕婦心理狀態、睡眠質量的影響. 四川中醫, 2024, 42(5): 216-220.

1. 張美桃, 張敏. 手術室路徑式護理對老年結石性膽囊炎腹腔鏡膽囊切除術患者術后恢復及并發癥的影響. 生命科學儀器, 2023, 21(增刊 1): 429.
2. 程倩, 郭愛紅, 楊曉蕾. 基于認知評價理論的護理干預對腹腔鏡膽囊炎手術患者術后康復的影響. 國際護理學雜志, 2023, 42(7): 1278-1282.
3. 靳雪, 馬慧, 劉田田. 循證護理對膽囊結石腹腔鏡手術患者的影響. 齊魯護理雜志, 2022, 28(12): 46-49.
4. 梁鵬. 麻醉醫師在日間手術全流程管理中的作用. 實用醫學雜志, 2024, 40(8): 1031-1037.
5. 倪宏, 劉玉, 覃惠英, 等. 化療相關性惡心嘔吐的非藥物干預研究進展. 護理研究, 2020, 34(20): 3674-3677.
6. 李丹, 蔣靜, 陳旭, 等. 腕踝針結合穴位貼敷在膽囊結石伴膽囊炎患者圍術期胃腸道反應中的護理效果. 國際護理學雜志, 2024, 43(16): 3033-3037.
7. 吳覓之, 潘紅英, 王珍, 等. 基于數據挖掘的術后惡心、嘔吐病人選穴規律分析. 護理研究, 2020, 34(8): 1338-1341.
8. 張媛媛, 汪茜雅, 鈕美娥, 等. 咀嚼口香糖對結腸鏡檢查患者腸道準備效果及不良反應影響的 Meta 分析. 臨床消化病雜志, 2018, 30(3): 170-176.
9. 黃陳, 楊麗, 趙蓉, 等. 加速康復外科在促進日間手術多維度發展中的應用. 中國醫院管理, 2020, 40(2): 47-49.
10. 中華人民共和國國家質量監督檢驗檢疫總局, 中國國家標準化管理委員會. GB/T 12346-2021 經穴名稱與定位. 北京: 中國標準出版社, 2021.
11. Jin Z, Gan TJ, Bergese SD. Prevention and treatment of postoperative nausea and vomiting (PONV): a review of current recommendations and emerging therapies. Ther Clin Risk Manag, 2020, 16: 1305-1317.
12. Abdelkarim H, Ciampoli N, Zwakman-Hessels L, et al. Chewing gum prophylaxis for postoperative nausea and vomiting in the intensive care unit: a pilot randomised controlled trial. Crit Care Resusc, 2023, 22(4): 321-326.
13. 王水玲, 王甜. 延續護理在腹腔鏡下膽囊切除日間手術患者中的應用. 檢驗醫學與臨床, 2020, 17(12): 1760-1762.
14. 李之婷, 顧俊婷, 夏凌云, 等. 口香糖在護理中的研究進展和未來展望. 軍事護理, 2024, 41(7): 82-85.
15. 朱惠剛, 左艷菊, 劉東升, 等. 術前口服碳水化合物對膽囊結石微創手術圍術期應激反應及術后胃腸功能恢復的影響. 安徽醫藥, 2022, 26(4): 819-823.
16. 姜丹, 呂曉嬌, 任麗娜, 等. PACU 患者發生術后惡心嘔吐的危險因素分析及護理策略. 空軍醫學雜志, 2020, 36(6): 540-542.
17. 李秀英, 李玉芹. 循證護理對甲狀腺術后惡心、嘔吐患者的影響. 齊魯護理雜志, 2020, 26(6): 59-61.
18. Balabolu M, Abuji K, Soni SL, et al. Effect of preoperative carbohydrate drink and postoperative chewing gum on postoperative nausea and vomiting in patients undergoing day care laparoscopic cholecystectomy: a randomized controlled trial. World J Surg, 2023, 47(11): 2708-2717.
19. Lv JQ, Wang C, Yang Y, et al. Intradermal thumbtack needle buried Neiguan (P6) point for prevention of postoperative nausea and vomiting in patients undergoing craniotomy: study protocol for a randomised controlled trial. BMJ Open, 2019, 9(11): e032417.
20. 張然, 李莉, 張泊寧, 等. 咀嚼口香糖對急性闌尾炎術后患兒胃腸功能快速康復的效果. 中國醫藥導報, 2023, 20(36): 161-164.
21. 何科茗. 咀嚼口香糖聯合右美托咪定滴鼻在結腸鏡檢查腸道準備及快速康復中的應用. 中國實用護理雜志, 2023, 39(5): 321-325.
22. 趙梓佳, 趙丹, 陳碧賢, 等. 術后惡心和嘔吐非藥物管理的最佳證據總結. 護理學報, 2021, 28(11): 33-39.
23. 吳婷, 黃孟秋, 侯云霞, 等. 穴位按摩對化療相關性惡心嘔吐干預效果的 Meta 分析. 護理管理雜志, 2020, 20(2): 94-98.
24. 王群, 劉寧寧, 王連主, 等. 撳針刺激雙側足三里穴、內關穴對腹腔鏡下膽囊切除術后胃腸功能的影響. 臨床麻醉學雜志, 2021, 37(5): 494-497.
25. 孫敬敬. 情志干預結合生姜內關穴貼敷改善妊娠劇吐的效果及對孕婦心理狀態、睡眠質量的影響. 四川中醫, 2024, 42(5): 216-220.

West China Medical Journal

Impact of Neiguan acupoint massage combined with chewing gum on the nursing outcomes of patients undergoing day-case laparoscopic cholecystectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content