经皮穴位电刺激对妇科腹腔镜术后恶心呕吐的影响  

Effects of Transcutanclus Electrical Acupoint Stimulation on Postoperative Nausea and Vomiting in Gynecological Laparoscopic Surgery Patients

作　　者：邓林[1] 杨小成[1] 邓田[1] 汤伟[1] 陈访[1] 

机构地区：[1]重庆市中医院,重庆400021

出　　处：《中国中医急症》2013年第6期902-904,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市中西医结合重点建设专科资助项目

摘　　要：目的观察接受经皮穴位电刺激对妇科腹腔镜手术的患者的术后恶心呕吐的发生情况的影响。方法选择在本院行妇科腹腔镜手术的患者200例。随机分为A组与B组各100例。两组均采用静吸复合全麻,术后患者均行硬膜外自控镇痛(PCEA)。经皮穴位电刺激处理组麻醉诱导前30 min及术中持续经皮穴位电刺激患者双内关和足三里,对照组也以相同的装置在患者双内关和足三里处但不做电刺激。术后6、12、24、48 h随访,观察记录两组患者恶心和呕吐发生率及疼痛视觉模拟评分(VAS)。结果术后6、12 h恶心发生率,术后6、12、48 h呕吐发生率,A组均低于B组。两组间术后VAS评分差异无统计学意义。结论经皮穴位电刺激内关和足三里可减少妇科腹腔镜手术患者术后恶心呕吐的发生率,这种效果在术后24 h内更明显。Objective： To observe the incidence of postoperative nausea and vomiting in two groups of patients with gynecological laparoscopic surgery which accepted transcutaneous electrical acupoint stimulation.Methods： 200 cases with gynecological laparoscopic surgery were randomly divided into the group A and group B with 100 cases in each group.Both groups were inhalation anesthesia.Postoperative patients underwent controlled epidural analgesia（PCEA）.Transcutaneous electrical acupoint stimulation was used before induction of anesthesia in 30 minutes.The surgery continued by transcutaneous electrical acupoint stimulation of patients with double Neiguan（PC6） and Zusanli（ST36）.The control group was received the same device in double Neiguan（PC6） and Zusanli（ST36） with no electrical stimulation.These records were observed in 2 groups including the nausea,the vomiting and the pain scores（VAS） in postoperative 6 h,12h,24 h and 48 h.Results： In group A after operation,these indicators were lower than these in the group B such as the nausea rates in 6h and 12h and the vomtiong rats in 6h,12h and 48h.There were no significant differences between 2 groups in the VAS scores.Conclusion： Transcutaneous electrical acupoint stimulation Neiguan（PC6） and Zusanli（ST36） can reduce the incidence of postoperative nausea and vomiting.This effect is more pronounced within 24h in postoperative.

关 键 词：经皮穴位电刺激 妇科腹腔镜 术后恶心呕吐 

分 类 号：R245.9[医药卫生—针灸推拿学]