妇科宫腔镜术后使用韩氏穴位神经刺激仪对疼痛及恶心呕吐的影响  

ANALGESIC AND ANTIEMETIC EFFECTS OF HAN'S ACUPOINT NERVE STIMULATOR(HANS) ON PATIENTS UNDERGOING GYNECOLOGIC HYSTEROSCOPY

作　　者：李雨利[1] 汪京萍[1] 张嵘[2,3] 白文佩[1] 

机构地区：[1]北京大学第一医院妇产科,北京100034 [2]北京大学基础医学院神经生物学系,北京100034 [3]神经科学教育部重点实验室,卫计委神经科学重点实验室,北京100191

出　　处：《中国疼痛医学杂志》2014年第1期22-25,共4页Chinese Journal of Pain Medicine

摘　　要：目的:观察在妇科宫腔镜术后使用韩氏穴位神经刺激仪(HANS),对患者术后疼痛与恶心、呕吐症状的影响。方法:接受妇科宫腔镜手术患者80例,通过计算机生成随机对照表,依随机对照表将患者按1:1的比例随机分配到两组,每组40例。研究组手术后立即使用HANS刺激患者内关-外关、劳宫-合谷穴,30 min;对照组不加电刺激。术后即刻、30 min及1 h使用疼痛视觉模拟尺(VAS)评价患者疼痛及恶心、呕吐情况。结果:与对照组相比,研究组患者在术后30 min及术后1 h,疼痛及恶心、呕吐等不良反应均低于对照组,差异有统计学意义(P<0.05)。结论:术后使用韩氏穴位神经刺激仪,能有效降低妇科宫腔镜术后患者疼痛与恶心、呕吐症状。Objective： To evaluate the effects of Han＇s Acupoint Nerve Stimulator （HANS） on postoperative pain and nausea/vomiting on women undergoing gynecologic hysteroscopy. Methods： Eighty women undergoing gynecologic hysteroscopy were randomly divided into two groups （1：1, n = 40）. The study group received HANS treatment for 30 minutes immediately after operation. Electric stimulations were administered at acupoints Hegu-Laogong and Neiguan-Waiguan via skin pads. The control group received routine observation after hysteroscopy. Visual analogue scale （VAS） was used to assess the degree of pain and nausea/vomiting immediately and at 30 minutes and 1 hour after operation. Results： Compared with the control group, the study group showed a significant reduction of pain and nausea/vomiting at 30 minutes and 1 hour after operation. Conclusion： HANS plays a significant role in reducing pain and nausea/vomiting after gynecologic hysteroscopy.

关 键 词：韩氏穴位神经刺激仪 妇科宫腔镜手术 术后疼痛 恶心 

分 类 号：R246.3[医药卫生—针灸推拿学]