电针复合颈丛阻滞对甲状腺手术病人疼痛评分和血浆β-内啡肽水平的影响  

Effect of Electroacupuncture Composite Cervical Plexus Block on Pain Scores and Plasma β-endorphin Level among Patients with Thyroid Surgery

作　　者：张彩举[1] 杨帆[1] 李熳[2] 

机构地区：[1]河南省南阳市第一人民医院,河南南阳473000 [2]华中科技大学同济医学院,湖北武汉430030

出　　处：《针灸临床杂志》2013年第4期1-4,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金资助项目;编号:81173328

摘　　要：目的:探讨电针复合颈丛阻滞对甲状腺手术病人疼痛评分和血浆β-内啡肽水平的影响。方法:选取拟行甲状腺切除术的患者40例,随机分为颈丛神经阻滞加假电针组(颈丛阻滞组)和电针复合颈丛神经阻滞组(电针复合组),每组20例。分别检测两组患者术前(T0)、术中60 min(T1)、术毕(T2)、术后1天(T3)、术后3天(T4)、术后7天(T5)患者的视觉模拟评分即VAS评分、血浆β-内啡肽水平的变化。结果:两组患者T1～T3时VAS评分、血浆β-内啡肽水平均较T0显著升高(P<0.05);电针复合组患者上述指标显著低于颈丛阻滞组(P<0.05)。结论:电针复合颈丛神经阻滞能显著降低患者围术期的疼痛评分和血浆β-内啡肽水平,是甲状腺手术较为理想的麻醉选择,值得在临床推广应用。Objective： To investigate effect of electroacupunctnre （EA） composite cervical plexus block on pain scores and plasma β - endorphin level among patients with thyroid surgery. Methods： Forty cases of patients who received thyroidectomy were randomly divided into cervical plexus block plus sham EA group （cervical plexus block group） and cervical plexus block plus EA group （EA composite group） with 20 cases in each group. Vis- ual Analogue Scale （VAS） scores and plasma β -endorphin level were detected and compared before surgery （TO ） ,60min during Surgery （T1 ）, one day after surgery （T2 ）, three days after surgery（ T3 ）, five days after sur- gery （T4 ） , seven days after surgery （T5 ） in two groups. Results：There was a significant difference in VAS scores and plasma β - endorphin level between T1 - T3 time point and To time point in two groups（P 〈0.05 ）. The in- dices in EA composite group were significantly lower than those of cervical plexus block group （P 〈 0.05 ）. Conclusion： EA composite cervical plexus block significantly reduces pain scores and plasma β- endorphin lev- el among patients with thyroid surgery. It is an ideal anesthetic choice for thyroid surgery, which is worthy of clinical application.

关 键 词：电针 颈丛神经阻滞 甲状腺手术 VAS评分 Β-内啡肽 

分 类 号：R246.2[医药卫生—针灸推拿学]