电针内麻点和内关穴对胸科手术后镇痛的观察  

Observation on electroacupuncture at Neimadian (Extra) and Neiguan (PC 6) for analgesia after thoracic surgery

作　　者：赵喜波[1] 邢群智[1] 韩学昌[1] 

机构地区：[1]河南科技大学第一附属医院麻醉科,洛阳471003

出　　处：《中国针灸》2013年第9期829-832,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察电针内麻点和内关穴对胸部手术后镇痛的有效性及安全性。方法:选取择期行胸部手术患者120例,随机分为电针组(60例)和药物组(60例)。电针组使用电针刺激内麻点和内关穴进行手术后镇痛治疗;药物组使用静脉自控镇痛(PCIA)进行手术后镇痛治疗。比较两组患者治疗后视觉模拟量表(VAS)评分、镇痛效果、安全性及血清β-内啡肽含量。结果:两组术后各时点VAS评分与治疗前比较均有降低(均P<0.01),且电针组低于药物组(P<0.01);两组镇痛疗效比较,电针组术后2h优良率为96.7%(58/60),优于药物组的75.0%(45/60,P<0.01);两组治疗安全性等级比较,电针组高于药物组(P<0.01);两组患者治疗后血清β-内啡肽含量较治疗前均增高,且电针组高于药物组(P<0.01)。结论:电针刺激内麻点和内关穴对胸科手术后镇痛效果(术后2h)及安全性均优于PCIA。Objective To observe the effectiveness and safety of electroacupuncture （EA） at Neimadian （Ex- tra） and Neiguan （PC 6） for analgesia after thoracic surgery. Methods One hundred and twenty cases of thoracic surgery were randomly divided into an electroacupuncture （EA） group （60 cases） and a medication group （60 ca- ses）. EA was applied at Neimadian （Extra） and Neiguan （PC 6） for postoperation analgesia in the EA group, while patient-controlled intravenous analgesia （PCIA） was applied in the medication group. The score of visual an- alogue scale （VAS）, analgesia effect, safety and β-endorphin level after the treatment in both groups were com- pared. Results Compared with those before the treatment, the VAS scores in every time point after surgery were de- creased （all P〈0. 05）, which were lower in the EA group （P〈0. 01）. The excellent and good rates were 96. 7% （58/60） and 75.0% （45/60） seperately, the analgesia effect in the EA group （2 h after operation） was superior to that in the medication group （P〈0.01）. The safety degree in EA group was higher to that in the medication group （P〈0.01）. Compared with that before the treatment, the β-endorphin level in two groups after treatment was both increased, which was higher in the EA group （P〈0.01）. Conclusion Electroacupuncture at Neimadian （Extra） and Neiguan （PC 6） has better analgesia effect （2 h after operation） and safety than PICA on analgesia after thoracic surgery.

关 键 词：针刺 内麻点 穴 内关 Β-内啡肽 术后镇痛 

分 类 号：R246.2[医药卫生—针灸推拿学]