摘要
目的:探讨经皮穴位电刺激(TEAS)联合静脉全麻在人工流产术中的镇痛效果。方法:选择2021年6月—2022年3月赣州市妇幼保健院收治的自愿施行无痛人工流产术患者150例,根据随机数字表法将其分为三组,分别为A组(n=50)、B组(n=50)、C组(n=50)。A组采用丙泊酚进行静脉全麻,B组采用地佐辛联合丙泊酚进行静脉全麻,C组采用TEAS联合丙泊酚静脉全麻。比较三组术前(T_(0))、术中宫内吸引时(T_(1))、手术结束时(T_(2))血流动力学[心率(HR)、血氧饱和度(SpO_(2))、平均动脉压(MAP)],并对比三组麻醉效果及术后6、24 h不良反应发生率。结果:三组T_(0)、T_(1)、T_(2)时点,HR、MAP水平均逐渐升高,SpO_(2)水平逐渐降低,与A组、B组相比,C组HR、MAP水平均更低,SpO_(2)水平更高,差异均有统计学意义(P<0.05)。与A组、B相比,C组丙泊酚用量更少,VAS评分更低,与A组比较,B组丙泊酚用量更少,VAS评分更低,差异均有统计学意义(P<0.05);与A组、B组相比,C组苏醒时间均更短,与A相比,B组苏醒时间更长,差异均有统计学意义(P<0.05);与B组相比,C组呼吸抑制发生率更低,差异有统计学意义(P<0.05)。术后24 h,三组呕吐发生率比较,差异有统计学意义(P<0.05);与B组相比,C组术后24 h呕吐发生率更低,差异有统计学意义(P<0.05)。结论:TEAS联合静脉全麻可有效稳定人工流产术患者术中血流动力学,增强麻醉效果,缓解患者术后疼痛感,且安全性较好。
Objective:To investigate the analgesic effect of transcutaneous electrical acupoint stimulation(TEAS)combined with intravenous general anesthesia in induced abortion.Method:A total of 150 patients with voluntary painless induced abortion admitted to Ganzhou Women and Children's Health Care Hospital from June 2021 to March 2022 were selected and divided into three groups according to random number table method:A group(n=50),B group(n=50)and C group(n=50).A group received Propofol for intravenous general anesthesia,B group received Dezocine combined with Propofol for intravenous general anesthesia,and C group received TEAS combined with Propofol for intravenous general anesthesia.The hemodynamics[heart rate(HR),percutaneous arterial oxygen saturation(SpO_(2)),mean arterial pressure(MAP)]of the three groups were compared before surgery(T_(0)),during intrauterine aspiration(T_(1)),and at the end of surgery(T_(2)).The anesthetic effect and the incidence of adverse reactions 6 and 24 h after surgery were compared among the three groups.Result:At T_(0),T_(1) and T_(2) time points,HR and MAP levels gradually increased,SpO_(2) levels gradually decreased in the three groups,and compared with A group and B group,HR and MAP levels in C group were lower,SpO_(2) levels in C group were higher,the differences were statistically significant(P<0.05).Compared with A group and B group,Propofol dosage was less and VAS scores was lower in C group,compared with A group,Propofol dosage was less and VAS scores was lower in B group,the differences were statistically significant(P<0.05).Compared with A group and B group,the recovery time was shorter in C group,compared with A group,the recovery time was longer in B group(P<0.05).Compared with B group,the incidence of respiratory depression in C group was lower,the difference was statistically significant(P<0.05).24 h after surgery,the incidence of vomiting among the three groups was significantly different(P<0.05).Compared with B group,the incidence of vomiting 24 h after surgery in C group was lower,the difference was statistically significant(P<0.05).Conclusion:TEAS combined with intravenous general anesthesia can effectively stabilize intraoperative hemodynamics of patients undergoing induced abortion,enhance anesthesia effect,and relieve postoperative pain of patients,with good safety.
作者
纪玲
毕生龙
何玉婷
刘素清
JI Ling;BI Shenglong;HE Yuting;LIU Suqing(Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China;不详)
出处
《中国医学创新》
CAS
2023年第23期106-110,共5页
Medical Innovation of China
基金
江西省中医药管理局科技计划项目(2021B175)。
关键词
人工流产术
经皮穴位电刺激
静脉全麻
镇痛效果
血流动力学
Induced abortion
Transcutaneous electrical acupoint stimulation
Intravenous general anesthesia
Anesthesia effect
Hemodynamics
