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经皮穴位电刺激促进胃肠手术患者全身麻醉苏醒

[Transcutaneous electrical acupoint stimulation promotes general anesthesia recovery in patients undergoing gastrointestinal surgery].

作者信息

Tian Wei-Qian, Hu Cheng, Yang Guang

机构信息

Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210001, China.

出版信息

Zhen Ci Yan Jiu. 2021 Nov 25;46(11):963-6. doi: 10.13702/j.1000-0607.201152.

DOI:10.13702/j.1000-0607.201152
PMID:34865335
Abstract

OBJECTIVE

To observe the effect of transcutaneous electrical acupoint stimulation (TEAS) on the recovery of patients undergoing gastrointestinal surgery under general anesthesia.

METHODS

Sixty patients (ASA Ⅱ-Ⅲ) selected for scheduled gastrointestinal surgery were randomly divided into control group and TEAS group (=30 cases per group). Patients in the two groups received general anesthesia, and those of the TEAS group also received TEAS for 30 min (8-12 mA) immediately after surgery. The changes of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) before anesthesia, before acupoint stimulation, before extubation, immediately after extubation, 10 and 30 min after extubation were recorded. The recovery time of spontaneous breathing, extubation time, VAS scores and Bruggman comfort scale (BCS) scores at the time of discharging from postanesthesia care unit (PACU) were recorded.

RESULTS

Compared with the control group, the recovery time of spontaneous breathing and extubation time were significantly shorter (<0.05), the VAS score was significantly lower (<0.05), and the BCS score significantly increased in the TEAS group (<0.05). There were no significant differences between two groups in the levels of SBP, DBP and HR at each time point (>0.05).

CONCLUSION

TEAS can accelerate the gastrointestinal surgery patients' recovery from general anesthesia, enhance the postoperative analgesic effect, improve patients' discomfort, has less adverse reactions, and is thus conducive to promote the postoperative rehabilitation.

摘要

目的

观察经皮穴位电刺激(TEAS)对全身麻醉下胃肠道手术患者恢复的影响。

方法

选取60例择期行胃肠道手术的患者(ASAⅡ-Ⅲ级),随机分为对照组和TEAS组(每组30例)。两组患者均接受全身麻醉,TEAS组患者术后即刻还接受30分钟的TEAS治疗(8-12毫安)。记录麻醉前、穴位刺激前、拔管前、拔管即刻、拔管后10分钟和30分钟时的收缩压(SBP)、舒张压(DBP)、心率(HR)变化。记录自主呼吸恢复时间、拔管时间、麻醉后恢复室(PACU)出院时的视觉模拟评分(VAS)和布罗格曼舒适度评分(BCS)。

结果

与对照组相比,TEAS组自主呼吸恢复时间和拔管时间明显缩短(<0.05),VAS评分明显降低(<0.05),BCS评分明显升高(<0.05)。两组各时间点的SBP、DBP和HR水平比较,差异无统计学意义(>0.05)。

结论

TEAS可加速胃肠道手术患者全身麻醉后的恢复,增强术后镇痛效果,改善患者不适,不良反应少,有利于促进术后康复。

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