经皮内关穴电刺激对乳腺癌术中心率和术后恶心、疼痛的影响  

Effects of transcutaneous electrical Neiguan acupoint stimulation on intraoperative heart rate and postop- erative nausea and vomiting and pain in patients with breast cancer treated by imitation radical mastecto- my

作　　者：于辉[1] 祁丽艳[1] 黄巍[1] 王国年[1] 王耀先[1] 付春梅[1] 

机构地区：[1]哈尔滨医科大学附属第三医院心肺功能室,哈尔滨150081

出　　处：《实用肿瘤学杂志》2012年第4期324-327,335,共5页Practical Oncology Journal

基　　金：黑龙江省卫生厅课题资助（2011-126）

摘　　要：目的观察经皮穴位电刺激内关穴对硬脊膜外阻滞下行乳腺癌仿根治术的患者术后恶心呕吐、疼痛程度、平均动脉压及心率的影响。方法90名ASA分级为I-Ⅱ级、符合实验条件的乳腺癌仿根治术的患者随机分为经皮内关穴电刺激组（E组）、非穴位组（s组）和对照组（C组），观察术前、术中和术后各观察指标的变化。结果E组平均动脉压显著低于S组和C组（P〈0．05），S组和C组间无显著差异（P〉0．05）；E组平均动脉压有随观察时间的延长而平稳下降的趋势。C组恶心、呕吐和疼痛平均评分显著高于E组和S组（P〈0．05）。E组和S组术后满意度评分显著高于C组（P〈0．05）。结论经皮穴位电刺激内关穴可以降低硬脊膜外阻滞下行乳腺癌仿根治术的患者恶心呕吐的发生率，且有较好的镇痛和稳定心率作用，患者满意度较高。Objective To investigate the effects of transcutaneous electrical Neiguan acupoint stimula- tion （TEAS）on postoperative nausea and vomiting （PONV）, degree of pain and Mean arterial pressure （MAP）in patients undergoing imitation radical mastectomy. Methods 90 patients, ASA [ or ]1 ,who accorded with exper- iment condition undergoing imitation radical mastectomy,were divided randomly into point group, nonpoint group and control group. The changes of indicators were observed in preoperative, intraoperative and postoperative. Re- suits The significant lower mean arterial pressure was observed in Neignan acupoint group, compared with non acupoint and control group （ P 〈 0.05 ）. The Mean arterial pressure was not significantly difference between the non - acupoint group and the control group （ P 〉 0.05）. The steady decreased trend of mean arterial pressure have been observed with the extension of observation time in the acupoint group. The mean scores of PONV and pain in the control group were significantly higher than in the non - acupoint and the acupuncture groups （ P 〈 0.05 ）. The satisfactory scores of postoperation were significantly higher in the acupoint and the nonacupoint groups than those in the control group （ P 〈 0.05）. Conclusion Our findings suggest that the TEAS is more effective in preventing PONV,and there are a better analgesic effect and stable heart rate.

关 键 词：经皮穴位电刺激 内关穴 心率 术后恶心 呕吐 仿根治术 

分 类 号：R246.2[医药卫生—针灸推拿学]