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在全身麻醉下进行骨科手术的患者术前、术中和术后通过测量皮肤电阻来检测耳穴。

Detection of ear acupuncture points by measuring the electrical skin resistance in patients before, during and after orthopedic surgery performed under general anesthesia.

作者信息

Usichenko Taras I, Lysenyuk Victor P, Groth Martina H, Pavlovic Dragan

机构信息

Anesthesiology & Intensive Care Medicine Department, University of Greifswald, Germany.

出版信息

Acupunct Electrother Res. 2003;28(3-4):167-73. doi: 10.3727/036012903815901606.

Abstract

The aim was to study the detection of ear acupuncture points (EAP) by measuring the electrical skin resistance under general anesthesia. EAP with lower skin resistance were examined in 25 patients scheduled for elective orthopedic surgery on the day before, during the operative procedure and a few hours after it. EAP, detected in more than 25% of patients were further analyzed using a logistic regression model and compared to those in 15 healthy volunteers. The following EAP were identified in more than 50% of patients: Clavicle, Lung, Shenmen and points corresponding to the site of surgery. Point Clavicle was found in 16 patients (64%) throughout the study period. Shenmen was detected in 15 patients (60%) before surgery, whereas during and after surgery it was represented in 5 (20%) of them. EAP corresponding to the site of surgery were detected in 20 patients (80%) during the operative procedure. These EAP were detected more frequently in patients in comparison with healthy volunteers. The side of examination showed no significant differences throughout the study. The frequently found patterns of EAP with lower skin resistance in patients during orthopedic surgery can be useful for treatment of preoperative anxiety and postoperative pain relief.

摘要

目的是通过测量全身麻醉下的皮肤电阻来研究耳穴的检测。在25例择期骨科手术患者中,于手术前一天、手术过程中及术后数小时检查皮肤电阻较低的耳穴。对超过25%患者检测到的耳穴,使用逻辑回归模型进一步分析,并与15名健康志愿者的耳穴进行比较。在超过50%的患者中识别出以下耳穴:锁骨、肺、神门以及与手术部位对应的穴位。在整个研究期间,16例患者(64%)检测到锁骨穴。术前15例患者(60%)检测到神门穴,而术中及术后只有5例患者(20%)检测到该穴位。手术过程中,20例患者(80%)检测到与手术部位对应的耳穴。与健康志愿者相比,这些耳穴在患者中更频繁地被检测到。在整个研究过程中,检查侧无显著差异。骨科手术患者中频繁出现的皮肤电阻较低的耳穴模式可能有助于治疗术前焦虑和缓解术后疼痛。

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