中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (2): 154–157.doi: 10.12007/j.issn.0258-4646.2016.02.013

• 论著 • 上一篇    下一篇

经皮穴位电刺激对妇科腹腔镜手术围拔管期应激反应的影响

朱俊超,白文娅,滕秀飞,杨延超,李阳   

  1. 中国医科大学附属盛京医院麻醉科,沈阳110004
  • 收稿日期:2015-12-01 出版日期:2016-02-27 发布日期:2016-01-21
  • 作者简介:朱俊超(1974 -),女,副教授,博士.
  • 基金资助:
    中国医科大学盛京医院三新项目(2015PS57J)

Effect of Transcutaneous Electrical Acupoint Stimulation on Stress Response during Extubation in Patients Undergoing Gynecological Laparoscopy Surgery

ZHU Jun-chao,BAI Wen-ya,TENG Xiu-fei,YANG Yan-chao,LI Yang   

  1. Department of Anesthesiology,Shengjing Hospital,China Medical University,Shenyang110016,China
  • Received:2015-12-01 Online:2016-02-27 Published:2016-01-21

摘要: 目的 研究经皮穴位电刺激(TEAS)对妇科腹腔镜手术围拔管期应激反应的影响。方法 将60例择期行妇科腹腔镜手术的患者(18~60岁)随机分为TEAS组和对照组(C组)。TEAS组患者在麻醉诱导前30 min给予TEAS,C组患者仅将电极片贴附在相同穴位上,不给予电刺激。记录2组患者在围拔管期的血流动力学指标、静脉血中儿茶酚胺的浓度、唤醒时间、拔管时间、拔管质量评分、Ramsay镇静评分及术后不良反应的发生情况。结果 2组患者的一般情况、唤醒时间、拔管时间无统计学差异(P > 0.05);与C组比较,TEAS组患者在围拔管期的血流动力学指标、静脉血中儿茶酚胺的浓度、拔管质量评分、术后不良反应的发生率均降低,Ramsay镇静评分升高,差异有统计学意义(P < 0.05)。结论 TEAS能减轻妇科腹腔镜手术患者围拔管期的应激反应。

关键词: 经皮穴位电刺激, 全麻拔管, 应激反应, 妇科腹腔镜手术

Abstract: Objective To evaluate the effect of transcutaneous electrical acupoint stimulation(TEAS)on stress response during extubation in patients undergoing gynecological laparoscopy surgery. Methods Sixty patients,aged between 18 and 60 years,that scheduled for gynecological laparoscopy surgery under general anesthesia were randomly divided into 2 groupsTEAS group and control group(C group). Thirty minutes prior to the induction of anesthesia,patients in TEAS group were given electrical stimulation. The patients in C group were exposed to the electrodes,but no stimulation was administrated. The hemodynamic parameters and plasma concentration of catecholamine,the recovery time,extubation time,extubation quality score,Ramsay sedation score,as well as the incidence of complications during extubation of the two groups were recorded. Results There was no statistical significance of the patients characteristics,the recovery time and extubation time between the two groups(P > 0.05). Compared with C group,the hemodynamic parameters and the plasma concentration of catecholamine,the extubation quality score as well as the incidence of complications were lower,the Ramsay sedation score was higher in TEAS group(P < 0.05). Conclusion TEAS could decrease the stress response during extubation in patients undergoing gynecological laparoscopy surgery.

Key words: transcutaneous electrical acupiont stimulation, extubation of general anesthesia, stress response, gynecological laparoscopy surgery

中图分类号: 

  • R614.2
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