International Journal of Clinical Research

Objective To analyze and discuss the clinical effects of acupoint patch application in preventing and treating postoperative nausea and vomiting after gynecological laparoscopic surgery. Methods A total of 100 patients who developed nausea and vomiting after abdominal cavity surgery for uterine and adnexal lesions were selected as the target population from 2025.01-2025.6 hospitals in our hospital. All patients received intravenous ondansetron 2mg during the preoperative anesthesia induction phase. The experimental group underwent acupoint patch application for antiemetic treatment under the guidance of traditional Chinese medicine practitioners. The study compared whether patients in both groups experienced PONV again within 48h postoperatively, the severity grading, and clinical outcomes, while also observing whether any adverse reactions occurred in the experimental group. Results During the 24±2h follow-up after surgery, 12 cases (24.00%) of patients in the experimental group experienced nausea and vomiting again; 28 cases (56.00%) of patients in the control group experienced nausea and vomiting again. The frequency of occurrences in the experimental group was lower than that in the control group (P<0.05). By the 48±2h follow-up, symptoms had disappeared in both groups. At the time of enrollment: 3 cases in the experimental group were Grade I, 7 cases were Grade II, 28 cases were Grade III, and 12 cases were Grade IV; 4 cases were Grade I, 6 cases were Grade II, 26 cases were Grade III, and 14 cases were Grade IV in the control group. During the 24±2h follow-up after surgery, the improvement degree in the experimental group was better than that in the control group, with all patients achieving grade 0 by the 48±2h follow-up. After acupoint patch application, one case experienced skin erythema, two cases experienced itching, and one case experienced blisters, but no exudation occurred. All symptoms disappeared after adjustment and the patients were discharged in good condition. Conclusion In the prevention and treatment of postoperative nausea and vomiting after gynecological laparoscopic surgery, the implementation of acupoint patch application has shown significant effects and is worthy of widespread promotion and application.

Acupoint patch; Gynecology; Laparoscopic surgery; Nausea and vomiting