Baker S B, Wong C C, Wong P C, Jenkins L C
Can Anaesth Soc J. 1980 Mar;27(2):150-55. doi: 10.1007/BF03007778.
A study was undertaken to investigate recent reports concerning the use of transcutaneous electrostimulation (TES) for relief of postoperative pain. Thirty patients undergoing elective herniorrhaphy were subjected to a standard perianaesthetic protocol. The patients were divided into three groups of ten, designated control, sham TES and TES. Postoperative analgesic requirements for each group were compared. The number of intravenous doses of meperidine given to each group in the first three hours after operation was control group 46 doses; sham TES group 38 doses; TES group 10 doses (p less than 0.0005). The number of intramuscular doses of meperidine in the 3-24-hour period was control group 21 doses; sham TES 22 doses; TES group 17 doses (no statistical difference between groups). A subjectively beneficial effect of TES was also established. Despite a number of difficulties encountered during this study, primarily concerned with the subjective nature of pain and its assessment, a useful trend which warrants further investigation has been established in the use of transcutaneous electrostimulation (TES) for postoperative analgesia.
开展了一项研究,以调查最近有关使用经皮电刺激(TES)缓解术后疼痛的报告。30例行择期疝修补术的患者接受了标准的围麻醉期方案。患者被分为三组,每组10人,分别为对照组、假经皮电刺激组和经皮电刺激组。比较了每组术后的镇痛需求。术后前三小时内每组接受哌替啶静脉注射的剂量为:对照组46剂;假经皮电刺激组38剂;经皮电刺激组10剂(P<0.0005)。在3至24小时期间,每组接受哌替啶肌肉注射的剂量为:对照组21剂;假经皮电刺激组22剂;经皮电刺激组17剂(组间无统计学差异)。还证实了经皮电刺激具有主观有益效果。尽管在这项研究中遇到了一些困难,主要涉及疼痛的主观性及其评估,但在使用经皮电刺激(TES)进行术后镇痛方面已确立了一个值得进一步研究的有益趋势。