Examining the Effect of Peppermint Oil on Postoperative Nausea After Cervical Surgery.

Nurdan Cetin, Gulsah Kose, Aykut Gokbel
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Abstract

Abstract: PURPOSE: The aim of this study was to investigate the effect of peppermint oil aromatherapy on postoperative nausea and vomiting (PONV) and hemodynamic parameters in patients undergoing single-level cervical surgery. METHODS: This prospective randomized controlled study consisted of 76 single-level cervical surgery patients admitted to the neurosurgery department between March 2021 and November 2022. The patients were randomized into 2 groups: the intervention group received peppermint oil aromatherapy through inhalation, whereas the control group received routine clinical treatment. Both groups were observed for the presence and severity of PONV, the use of antiemetics, and hemodynamic parameters at minute 5, 35, 65, and 95, and at hour 2, 6, 12, and 24 after surgery. RESULTS: In the control group, 18 (47.8%) patients experienced nausea, 11 (28.9%) experienced vomiting, and 7 (18.4%) used antiemetics. In contrast, the intervention group included only 2 (5.3%) patients who experienced nausea, and none of those patients experienced vomiting or used antiemetics. It was determined that peppermint oil had a 40% effect on reducing PONV, 34% effect on reducing postoperative antiemetic use, and 75% effect on reducing severity of nausea. Hemodynamic parameters did not differ significantly between the 2 groups. The systolic blood pressure of the control group was significantly greater than that of the intervention group only at minute 95 and at hour 24 after surgery. CONCLUSIONS: The results suggest that the use of peppermint oil aromatherapy can have a positive effect on reducing the presence and severity of PONV and the need for antiemetic medication in patients undergoing single-level cervical surgery.

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研究薄荷油对宫颈手术后恶心的影响
摘要:目的:本研究旨在探讨薄荷油芳香疗法对单层颈椎手术患者术后恶心呕吐(PONV)和血流动力学参数的影响。方法:这项前瞻性随机对照研究由神经外科在2021年3月至2022年11月期间收治的76名单层颈椎手术患者组成。患者被随机分为两组:干预组通过吸入方式接受薄荷油芳香疗法,而对照组则接受常规临床治疗。观察两组患者术后第 5、35、65 和 95 分钟以及术后第 2、6、12 和 24 小时的 PONV 存在情况和严重程度、止吐药的使用情况以及血液动力学参数。结果:对照组中有 18 名(47.8%)患者出现恶心,11 名(28.9%)患者出现呕吐,7 名(18.4%)患者使用了止吐药。相比之下,干预组中只有 2 名(5.3%)患者出现恶心症状,这些患者均未出现呕吐或使用止吐药。经测定,薄荷油对减少 PONV 有 40% 的效果,对减少术后使用止吐药有 34% 的效果,对减少恶心严重程度有 75% 的效果。两组患者的血液动力学参数差异不大。对照组的收缩压仅在术后第 95 分钟和第 24 小时明显高于干预组。结论:结果表明,使用薄荷油芳香疗法对减少单层颈椎手术患者 PONV 的出现和严重程度以及对止吐药物的需求有积极作用。
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