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.	张美桃, 张敏. 手术室路径式护理对老年结石性胆囊炎腹腔镜胆囊切除术患者术后恢复及并发症的影响. 生命科学仪器, 2023, 21(增刊 1): 429.
2.	程倩, 郭爱红, 杨晓蕾. 基于认知评价理论的护理干预对腹腔镜胆囊炎手术患者术后康复的影响. 国际护理学杂志, 2023, 42(7): 1278-1282.
3.	靳雪, 马慧, 刘田田. 循证护理对胆囊结石腹腔镜手术患者的影响. 齐鲁护理杂志, 2022, 28(12): 46-49.
4.	梁鹏. 麻醉医师在日间手术全流程管理中的作用. 实用医学杂志, 2024, 40(8): 1031-1037.
5.	倪宏, 刘玉, 覃惠英, 等. 化疗相关性恶心呕吐的非药物干预研究进展. 护理研究, 2020, 34(20): 3674-3677.
6.	李丹, 蒋静, 陈旭, 等. 腕踝针结合穴位贴敷在胆囊结石伴胆囊炎患者围术期胃肠道反应中的护理效果. 国际护理学杂志, 2024, 43(16): 3033-3037.
7.	吴觅之, 潘红英, 王珍, 等. 基于数据挖掘的术后恶心、呕吐病人选穴规律分析. 护理研究, 2020, 34(8): 1338-1341.
8.	张媛媛, 汪茜雅, 钮美娥, 等. 咀嚼口香糖对结肠镜检查患者肠道准备效果及不良反应影响的 Meta 分析. 临床消化病杂志, 2018, 30(3): 170-176.
9.	黄陈, 杨丽, 赵蓉, 等. 加速康复外科在促进日间手术多维度发展中的应用. 中国医院管理, 2020, 40(2): 47-49.
10.	中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. GB/T 12346-2021 经穴名称与定位. 北京: 中国标准出版社, 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. 延续护理在腹腔镜下胆囊切除日间手术患者中的应用. 检验医学与临床, 2020, 17(12): 1760-1762.
14.	李之婷, 顾俊婷, 夏凌云, 等. 口香糖在护理中的研究进展和未来展望. 军事护理, 2024, 41(7): 82-85.
15.	朱惠刚, 左艳菊, 刘东升, 等. 术前口服碳水化合物对胆囊结石微创手术围术期应激反应及术后胃肠功能恢复的影响. 安徽医药, 2022, 26(4): 819-823.
16.	姜丹, 吕晓娇, 任丽娜, 等. PACU 患者发生术后恶心呕吐的危险因素分析及护理策略. 空军医学杂志, 2020, 36(6): 540-542.
17.	李秀英, 李玉芹. 循证护理对甲状腺术后恶心、呕吐患者的影响. 齐鲁护理杂志, 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.	张然, 李莉, 张泊宁, 等. 咀嚼口香糖对急性阑尾炎术后患儿胃肠功能快速康复的效果. 中国医药导报, 2023, 20(36): 161-164.
21.	何科茗. 咀嚼口香糖联合右美托咪定滴鼻在结肠镜检查肠道准备及快速康复中的应用. 中国实用护理杂志, 2023, 39(5): 321-325.
22.	赵梓佳, 赵丹, 陈碧贤, 等. 术后恶心和呕吐非药物管理的最佳证据总结. 护理学报, 2021, 28(11): 33-39.
23.	吴婷, 黄孟秋, 侯云霞, 等. 穴位按摩对化疗相关性恶心呕吐干预效果的 Meta 分析. 护理管理杂志, 2020, 20(2): 94-98.
24.	王群, 刘宁宁, 王连主, 等. 揿针刺激双侧足三里穴、内关穴对腹腔镜下胆囊切除术后胃肠功能的影响. 临床麻醉学杂志, 2021, 37(5): 494-497.
25.	孙敬敬. 情志干预结合生姜内关穴贴敷改善妊娠剧吐的效果及对孕妇心理状态、睡眠质量的影响. 四川中医, 2024, 42(5): 216-220.

1. 张美桃, 张敏. 手术室路径式护理对老年结石性胆囊炎腹腔镜胆囊切除术患者术后恢复及并发症的影响. 生命科学仪器, 2023, 21(增刊 1): 429.
2. 程倩, 郭爱红, 杨晓蕾. 基于认知评价理论的护理干预对腹腔镜胆囊炎手术患者术后康复的影响. 国际护理学杂志, 2023, 42(7): 1278-1282.
3. 靳雪, 马慧, 刘田田. 循证护理对胆囊结石腹腔镜手术患者的影响. 齐鲁护理杂志, 2022, 28(12): 46-49.
4. 梁鹏. 麻醉医师在日间手术全流程管理中的作用. 实用医学杂志, 2024, 40(8): 1031-1037.
5. 倪宏, 刘玉, 覃惠英, 等. 化疗相关性恶心呕吐的非药物干预研究进展. 护理研究, 2020, 34(20): 3674-3677.
6. 李丹, 蒋静, 陈旭, 等. 腕踝针结合穴位贴敷在胆囊结石伴胆囊炎患者围术期胃肠道反应中的护理效果. 国际护理学杂志, 2024, 43(16): 3033-3037.
7. 吴觅之, 潘红英, 王珍, 等. 基于数据挖掘的术后恶心、呕吐病人选穴规律分析. 护理研究, 2020, 34(8): 1338-1341.
8. 张媛媛, 汪茜雅, 钮美娥, 等. 咀嚼口香糖对结肠镜检查患者肠道准备效果及不良反应影响的 Meta 分析. 临床消化病杂志, 2018, 30(3): 170-176.
9. 黄陈, 杨丽, 赵蓉, 等. 加速康复外科在促进日间手术多维度发展中的应用. 中国医院管理, 2020, 40(2): 47-49.
10. 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. GB/T 12346-2021 经穴名称与定位. 北京: 中国标准出版社, 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. 延续护理在腹腔镜下胆囊切除日间手术患者中的应用. 检验医学与临床, 2020, 17(12): 1760-1762.
14. 李之婷, 顾俊婷, 夏凌云, 等. 口香糖在护理中的研究进展和未来展望. 军事护理, 2024, 41(7): 82-85.
15. 朱惠刚, 左艳菊, 刘东升, 等. 术前口服碳水化合物对胆囊结石微创手术围术期应激反应及术后胃肠功能恢复的影响. 安徽医药, 2022, 26(4): 819-823.
16. 姜丹, 吕晓娇, 任丽娜, 等. PACU 患者发生术后恶心呕吐的危险因素分析及护理策略. 空军医学杂志, 2020, 36(6): 540-542.
17. 李秀英, 李玉芹. 循证护理对甲状腺术后恶心、呕吐患者的影响. 齐鲁护理杂志, 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. 张然, 李莉, 张泊宁, 等. 咀嚼口香糖对急性阑尾炎术后患儿胃肠功能快速康复的效果. 中国医药导报, 2023, 20(36): 161-164.
21. 何科茗. 咀嚼口香糖联合右美托咪定滴鼻在结肠镜检查肠道准备及快速康复中的应用. 中国实用护理杂志, 2023, 39(5): 321-325.
22. 赵梓佳, 赵丹, 陈碧贤, 等. 术后恶心和呕吐非药物管理的最佳证据总结. 护理学报, 2021, 28(11): 33-39.
23. 吴婷, 黄孟秋, 侯云霞, 等. 穴位按摩对化疗相关性恶心呕吐干预效果的 Meta 分析. 护理管理杂志, 2020, 20(2): 94-98.
24. 王群, 刘宁宁, 王连主, 等. 揿针刺激双侧足三里穴、内关穴对腹腔镜下胆囊切除术后胃肠功能的影响. 临床麻醉学杂志, 2021, 37(5): 494-497.
25. 孙敬敬. 情志干预结合生姜内关穴贴敷改善妊娠剧吐的效果及对孕妇心理状态、睡眠质量的影响. 四川中医, 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