经皮穴位电刺激辅助巩膜扣带手术镇痛的临床研究  

Analgesia Effects of Transcutaneous Electrical Acupoint Stimulation in Scleral Buckles

作　　者：张玲[1] 郑燕林[1] 王菲[1] 

机构地区：[1]成都中医药大学附属医院眼科,四川成都610072

出　　处：《中医眼耳鼻喉杂志》2011年第2期83-86,共4页Journal of Chinese Ophthalmology and Otorhinolaryngology

摘　　要：目的 研究经皮穴位电刺激（TEAS）辅助局麻对巩膜扣带术（SB）手术的镇痛作用,为临床SB手术优选镇痛方法.方法 将40例SB患者随机分为局部麻醉组和复合麻醉组（简称复麻组和局麻组）,两组均用2%利多卡因和0.894%罗哌卡因各3ml行球后及眼轮匝肌麻醉,复麻组术中辅以HANS神经穴位仪在术侧合谷和内关行经皮穴位电刺激（TEAS）.术中行心电监护,术毕填写简式的McGill疼痛问卷表（Short-form of McGill Pain Questionnaire,SF-MPQ）,进行疼痛度VAS评分.结果 复麻组患者手术疼痛强度的VAS评分低于局麻组（P《0.05）;情感项和感觉项总分均低于局麻组,（P《0.05）.术中麻药用量低于局麻组,（P《0.05）.术中复麻组心率波动低于局麻组,（P《0.05）.眼心反射阳性率低于局麻组.结论 TEAS辅助局麻对SB具有较好的镇痛作用,优于单纯局麻治疗,可减少术中麻药用量,减少眼心反射发生率.Objective To Study the analgesic effects of transcutaneous electrical acupoint stimulation （TEAS） in scleral buckles, thus to optimize analgesia methods by the means of TCM. Methods 40 cases of RRD patients were randomly divided into two groups., the Partial anesthesia group and the complex anesthesia group. Anesthesia was used to both groups by 2% lidocaine 3 ml and ropivacaine 0. 894% 3ml in retrobulbar and the orbicularis muscles. In contrast, the TEAS with HANS instrument were untilized to the complex anesthesia group, along the side Hegu and neiguan point during surgery. ECG monitoring was used. And the Short-form of McGill pain questionnaire （SF-MPQ） was adopted to assess degree of pain VAS after surgery. Results The VAS pain intensity scores were lower in the complex anesthesia group than in Partial anesthesia group （P〈0.05） ; and the total scores of the emotion and feeling items were lower too in complex anesthesia group than the partial anesthesia group （P〈0.05）. Anesthetic dosage was lower in the complex anesthesia group than in partial anesthesia group, （P〈0. 05）. Intraoperative heart rate fluctuations in the complex anesthesia group were lower than in partial anesthesia group （P〈0.05）. The positive rate of OCR was lower in the complex anesthesia group than in the partial anesthesia group. Conclusion TEAS assisted Partial anesthesia in retinal detachment surgery has a good analgesic effect. , and it is better than Partial anesthesia treatment alone, It shall reduce the amount of intraoperative anesthetic, reduce the incidence of OCR.

关 键 词：孔源性视网膜脱离 巩膜扣带术 镇痛 经皮穴位电刺激 

分 类 号：R77[医药卫生—眼科]