摘要
目的观察应用韩氏穴位神经刺激仪(HANS)对甲状腺手术病人术后循环和疼痛的影响。方法选择100例ASAⅠ-Ⅱ级拟行甲状腺部分切除术病人,随机分为A、B两组,每组各50例。均采用C4一针法进行双侧颈浅神经丛及患侧颈深神经丛阻滞,所用药物为0.35%罗哌卡因。A组为单纯颈神经丛阻滞组(对照组);B组为颈神经丛阻滞辅以穴位粘电极HANS组,颈神经丛阻滞前使用HANS刺激20min,术中持续刺激,并且在术后4、8、12h再行电针刺激3次,每次20min。结果B组术后心率、血压、血氧饱和度各项生理指征平稳,疼痛及恶心呕吐评分与A组相比有统计学差异。术后使用镇痛药的病人例数明显少于A组。结论甲状腺手术病人应用韩氏穴位神经刺激仪,可减轻术后疼痛,保持术后循环稳定。
Objective To evaluate the effects of Han＇s acupoint never stimulator（HANS） on the circulation and pain in the patients of thyroidectomy. Methods One hundred cases with. ASA Ⅰ-Ⅱ undergoing thyroidectomy were randomly divided into A and B groups （ n = 50 each group）. And single puncture of C4 site was performed in all of patients. And the drug of cervical plexus block was 0.35 % ropivacaine, which was injected to bilateral superficial plexus and deep plexus of affected side. MeAnwhile, Han＇ s was used in group B. After operation electrical stimulation was performed in group B for thee times （at 4h,8h, 12h,20min each time）. Results After operation physiological indications （heart rate, blood pressure, blood oxidation saturation） were stable in group B. Compared with group A the grade of pain, nausea, vomiting were different in statistically, and the dosage of analgesic was lesser. Conclusion It could alleviate pain and maintain stability of circulation that HAN＇S acupoint nerve stimulator instrument is used in patients after thyroidectomy.
出处
《哈尔滨医科大学学报》
CAS
北大核心
2005年第4期364-366,共3页
Journal of Harbin Medical University
关键词
韩氏穴位神经刺激仪
针刺麻醉
颈丛阻滞
甲状腺切除术
Han＇ s acupoint nerve stimulator
acupuncture anesthesia
cervical plexus block
thyroidectomy
