撤针结合中药热奄包治疗老年下肢骨折术后恶心呕吐临床研究

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[关键词］下肢骨折；术后；老年；擀针；中药热奄包；恶心呕吐

[中图分类号]R274.12；R683.42 ［文献标志码］A [文章编号]0256-7415（2026）06-0144-06

DOI:10.13457/j.cnki.jncm.2026.06.023

Clinical Study on Thumbtack Needling Combined with Chinese Medicine Hot Compress Package for Nausea and Vomiting After Lower Limb Fracture Surgery in Elderly

ZHENG Lili，CHEN Bi， SU Yan， ZHUANG Chuanpeng，HUANG Chenwei，HUANG Chunjie FirstWard，DepamentofOrthopeicsandTraumatology，CanganHospitalofTaditionalChineseMedicine，angnanZhejang8 China

Abstract:Objective:To observe the clinical effect of thumbtack needling combined with Chinese medicine hot compress package in the treatmentofnauseaand vomiting afterlowerlimb fracture surgeryin elderly.Methods：A total of 6O elderlypatients with lower limb fractures who underwent elective surgery in the FirstWard of Departemtntof Orthopedicsand Traumatology，Cangnan Hospital of Traditional Chinese Medicine from May to December 2024 were selected and divided into the control group and the study group by random coin toss method，with 3O cases in each group.Both groups fasted for 12 hours and abstained from waterfor 1O hours before surgery，received the same combined spinal-epidural anesthesia during surgery，and were given anti-infection，nutritional support and other symptomatic treatments after surgery.Thecontrol group was given metoclopramide hydrochloride1O mg intramuscularly within 6 hours after surgery；the study group was treated with thumbtack needling combined with Chinese medicine hot compresspackage within 6hours after surgery.The incidenceandseverityof nausea and vomiting within 48 hours after surgery，thescoresof traditional Chinesemedicine（TCM）syndromes beforeand after treatment，the overall therapeutic efect on postoperative nausea and vomiting，and the occurrence of adverse reactions during treatment were observedand compared between the two groups.Results:Ultimately，29 cases were included in the study group and 29cases in the control group for statistical analysis.The incidence of nauseaand vomiting in the study groupat 6- （204 12 hours and 12-24 hours after surgery，andthe total incidence of nausea and vomiting within 48 hours after surgery were lower than those in the control group，differences being significant ( P0.05 ).Conclusion： Thumbtack needling combined with Chinese medicine hot compresspackage for nauseaand vomiting after lower limb fracturesurgeryinelderlycaneffectivelyreduce the incidence of early postoperative nausea and vomiting，alleviate the degree and symptoms of nausea and vomiting，an effect that is superior to metoclopramide hydrochloride alone，with good clinical effect and safety.

Keywords:Lower limb fracture；Postoperative period；Elderly；Thumbtack needling；Chinese medicine hot compress package；Nausea and vomiting

下肢骨折是骨伤病区较为常见的骨折，临床表现为下肢疼痛、肿胀、功能障碍等，严重者可能会出现血管、肌、神经方面损伤，多见于老年人。（剩余10338字）