针刺复合麻醉在功能性鼻内窥镜术中的镇痛作用  

Analgesic effect of acupuncture compound anesthesia in functionality nasal endoscopic sinus surgery

作　　者：童秋瑜[1] 马文[1] 沈卫东[1] 张治军[2] 赵创[1] 

机构地区：[1]上海中医药大学附属曙光医院 针刺麻醉研究室 [2]上海中医药大学附属曙光医院耳鼻喉科,上海201203

出　　处：《中国针灸》2012年第9期815-818,共4页Chinese Acupuncture & Moxibustion

基　　金：上海市卫生局中医药科研基金资助项目:2010QL010A

摘　　要：目的:验证针刺复合麻醉在功能性鼻内窥镜术中的镇痛作用。方法:将90例行功能性鼻内窥镜术的患者随机分为3组,A组行常规局麻;B组、C组均于局麻前行电针刺激,穴取印堂、迎香,诱导30min,在此基础上,B组予常规麻醉药量局麻,C组予减量麻醉药局麻。观察各组患者术中麻醉药量、改良五指法疼痛评分、术后满意度评分。结果:术后丁卡因药量A组为(118.33±26.21)mg,B组为(100.83±4.56)mg,C组为(71.33±8.90)mg,组间差异均有统计学意义(均P<0.01),C组用量最少,A组最多;B组和C组的五指法疼痛评分均低于A组(均P<0.01);B组和C组的术后满意度评分均高于A组(均P<0.01)。结论:针刺复合麻醉可有效减轻疼痛,明显减少术中的局部麻醉药用量,降低术中的不适感,有助于患者术中的安全。Objective To verify the analgesic effect of acupuncture compound anesthesia in functionality nasal endoscopic sinus surgery （FNES）. Methods Ninety patients undergoing FNES were randomly divided into three groups. Group A was treated with routine local anesthesia, and group B and C were treated with electroacupunc- ture at Yintang （EX-HN 3） and Yingxiang （LI 20） for 30 min before local anesthesia. Group B received routine local anesthesia, and group C received decrement local anesthesia. The dosage of narcotic, modified fingers pain scores and postoperative satisfaction scores were observed in three groups. Results The operative dosage of deci- caine was （118.33±26.21） mg in group A, （100.83±4.56） mg in group B, and （71.33±8.90） mg in group C, with significant differences among the three groups （all P〈0. 01）, the lowest dosage was used in group C and the highest dosage in group A. The fingers pain scores of group B and C were both lower than that of group A （botil P〈0. 01 ）, and the postoperative satisfaction scores of group B and C were both higher than that of group A （both P〈0. 01）. Conclusion Acupuncture compound anesthesia can effectively alleviate the pain, decrease the dosage of local anesthetic, lower the discomfortableness and be helpful for safety of the patients during sinus surgery.

关 键 词：功能性鼻内窥镜术 针刺复合麻醉 镇痛效应 

分 类 号：R246.2[医药卫生—针灸推拿学]