摘要
目的观察电针在经皮椎体后凸成形术(PKP)中应用的镇痛效果。方法 60例行PKP患者,随机分成电针组和对照组,每组30例。电针组在电针加局麻麻醉方法下进行手术;对照组仅在局麻下进行手术。观察两组患者手术前与手术中MAP和HR的变化以及手术前、手术后4 h、手术后24 h的VAS评分差异。结果两组患者手术后4 hVAS评分均比手术前明显下降(P<0.01);电针组术后4 hVAS评分较对照组稍低,但无显著性差异(P>0.05);电针组手术后24 hVAS评分比术后4 h有显著性下降(P<0.05);对照组术后24 hVAS评分较术后4 h无明显下降。电针组术后24 hVAS评分较对照组也有显著性下降(P<0.01)。两组手术中MAP均比手术前升高(P<0.05);电针组手术中和手术前HR无明显变化;对照组手术中HR比手术前明显升高(P<0.01)。结论 电针加局部麻醉在PKP的围术期有缓解疼痛,稳定心率,提高手术耐受性的作用。
Objective To investigate the analgesic effect of acupuncture in percutaneous kyphoplasty （PKP）. Methods Sixty PKP patients were randomly allocated to electroacupuncture and control groups, 30 cases each. The electroacupuncture group underwent the surgery under electroacupuncture plus local anesthesia and the control group, under local anesthesia alone. MAP and HR were measured before and during the surgery and the VAS score was counted before and at 4 and 24 hrs after the surgery in the two groups. The results were compared. Results The VAS score was significantly lower at 4 hrs after than before the surgery in both groups （P〈0.01）. The VAS score was slightly lower at 4 hrs after the surgery in the electroacupuncture group than in the control group, but the difference was not significant （P〉0.05）. The VAS score was significantly lower at 24 hrs than at 4 hrs after the surgery in the electroacupuncture group （P〈0.05）. The VAS score was not significantly lower at 24 hrs than at 4 hrs after the surgery in the control group. The VAS score was significantly lower at 24 hrs after the surgery in the electroacupuncture group than in the control group （P〈0.01）. MAP was higher during the surgery than before in both groups （P〈0.05）. There was no significant HR difference between during and before the surgery in the electroacupuncture group. HR was significantly higher during the surgery than before in the control group （P〈0.01）. Conclusion Electroacupuncture plus local anesthesia has the effects of relieving pain, stabilizing the heart rate and improving surgical tolerance during the perioperative period of PKP.
出处
《上海针灸杂志》
2011年第12期850-852,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
电针
针刺麻醉
穴
内关
穴
合谷
穴
夹脊
经皮椎体后凸成形术
Electroacupuncture
Acupuncture anesthesia
Point, Neiguan （PC 6）
Point, Hegu （LI 4）
Point, Huatuojiaji （GB 30）
Percutaneous kyphoplasty
