摘要
目的观察经皮穴位电刺激对烧伤清创患者的围手术期镇痛效果。方法选择2024年1~8月石河子大学第一附属医院初次行全麻下清创的80例烧伤患者为研究对象,使用随机数字表法分为试验组和对照组,每组各40例。试验组在麻醉诱导前30 min行经皮穴位电刺激至手术结束,对照组接受假刺激。比较两组患者术后48 h内镇痛效果、术中麻醉药物用量及术后24 h内不良反应发生情况。结果两组患者术后疼痛评分均呈先升高后下降趋势(P<0.05),术后12小时评分最高,术后48小时评分最低。试验组术后6、12、24小时疼痛评分均低于对照组(P<0.05),而两组术后48小时疼痛评分比较,差异无统计学意义(P>0.05)。与对照组相比,试验组术后24 h内的PCIA泵按压次数降低(P<0.05),但两组补救镇痛的发生率及对术后镇痛的满意度无明显差异(P>0.05)。试验组术中瑞芬太尼用量低于对照组(P<0.05),两组丙泊酚用量比较,差异无统计学意义(P>0.05)。试验组术后24 h内恶心呕吐、便秘的发生率低于对照组(P<0.05),而两组之间嗜睡、头晕发生率比较,差异无统计学意义(P>0.05)。结论经皮穴位电刺激应用于烧伤患者清创术中可安全有效地缓解患者术后早期疼痛,减少围手术期镇痛药物的使用并降低术后胃肠道不良反应的发生。
Objective To observe the perioperative analgesic effect of transcutaneous electrical stimulation of acupoints on burn debridement patients.Methods Using the random number table method,80 burn patients with elective wound debridement under general anesthesia for the first time at the First Affiliated Hospital of Shihezi University between January and August 2024 were selected and randomized into two groups:the experimental group and the control group,with 40 cases in each group.In the experimental group,transcutaneous electrical stimulation of acupoints was performed 30 min before induction of anaesthesia until the end of the operation.While the control group received false stimulation.The analgesic effect within 48 hours after surgery,intraoperative anaesthetic drug dosage and the occurrence of postoperative adverse reactions within 24 hours after surgery were compared between the two groups.Results Postoperative pain scores tended to increase and then decrease in both groups,with the highest pain scores at 12h postoperatively and the lowest pain scores at 48 h postoperatively.The pain scores of the experimental group at 6 h,12 h,24 h postoperatively were lower than those of the control group(P<0.05),but the differences in pain scores at 48 h postoperatively between the two groups were not statistically significant(P>0.05).Compared with the control group,the number of analgesic pump presses within 24 hours after surgery in the experimental group was reduced(P<0.05),but there were no significant differences in the use of remedial analgesic drugs and satisfaction with postoperative analgesia between the two groups(P>0.05).The intraoperative remifentanil dosage of the experimental group was lower than that in the control group(P<0.05),and there was no statistically significant difference in the comparison of propofol dosage(P>0.05).The incidence of nausea and vomiting and constipation in the experimental group was lower than that of the control group in the postoperative period of 24 h(P<0.05),while the difference in the incidence of drowsiness and dizziness was not statistically significant when comparing between two groups(P>0.05).Conclusion Transcutaneous electrical stimulation of acupoints applied to burn patients during debridement can safely and effectively relieve patients'early postoperative pain,reduce the use of perioperative analgesic drugs,and reduce the occurrence of postoperative gastrointestinal adverse reactions.
作者
刘倩
潘紫燕
赵愉佳
李燕
LIU Qian;PAN Ziyan;ZHAO Yujia;LI Yan(Department of Anesthesiology,the First Affiliated Hospital of Shihezi University,Shihezi 832003,China)
出处
《安徽医学》
2025年第12期1524-1529,共6页
Anhui Medical Journal
基金
石河子大学第一附属医院中医专项(编号:ZY2023051)。
关键词
经皮穴位电刺激
烧伤
术后镇痛
瑞芬太尼
丙泊酚
Transcutaneous electrical acupoint stimulation
Burns
Postoperativeanalgesia
Remifentanil
Propofol
