乳腺癌根治术后使用经皮穴位电刺激的镇痛效果观察  

After the use of the analgesic effect of transcutaneous electrical acupoint stimulation on radical operation of breast cancer

作　　者：刘建国[1] 王海燕[2] 张黄丽[3] 韩冲芳[2] 

机构地区：[1]太原市第二人民医院,山西太原030001 [2]山西医学科学院山西大医院,山西太原030032 [3]武警山西总队医院,山西太原030006

出　　处：《临床医药实践》2015年第9期651-653,共3页Proceeding of Clinical Medicine

摘　　要：目的：观察接受乳腺癌根治手术患者使用经皮穴位神经电刺激（TEAS）后的镇痛效果。方法：选择择期行乳腺癌根治手术患者60例,女性,年龄45∽70岁,身体质量指数18∽25 kg/m2,ASA分级Ⅰ或Ⅱ级,采用随机数字表法,将其分为TEAS组（T组）和安慰组（F组）两组。取穴：合谷-劳宫,内关-外关。频率：2/100 Hz,分别在麻醉诱导前0.5 h及术后患者苏醒即刻、术后1.5 h,3 h使用TEAS或假TEAS 0.5 h,于术后苏醒即刻（T0）及术后0.5 h（T1）,2 h（T2）,3.5 h（T3）,24 h（T4）采用视觉模拟评分（VAS）评估患者疼痛情况。结果：与F组相比,T组术后疼痛VAS评分降低。结论：TEAS可以改善乳腺癌根治术患者的术后疼痛。Objective： To observe the acceptance of breast cancer surgery patients in the use of transcutaneous electrical nerve stimulation（ TEAS）,the effect of patient with postoperative pain. Methods Elective radical operation for breast cancer patients with 60 cases,female,age 45 ∽ 70 years of age,body mass index of 18 ∽ 25 kg / m2,ASA Ⅰ ∽ Ⅱ,were randomly divided into 2 groups： TEAS group（ group T） and placebo group（ group F）. Acupoint Hegu Laogong,Neiguan waiguan. Frequency：2 /100 Hz,respectively in the 0. 5h before induction of anesthesia,postoperative patients recovery immediately after the operation recovery immediately after the operaton and 1. 5 h,3 h use TEAS or false TEAS 0. 5 h,in the immediate postoperative recovery（ T0）,0. 5 h after operation（ T1）,2 h（ T2）,3. 5 h（ T3）,24 h（ T4） were assessed using visual analogue scale（ VAS）patients pain. Results： Compared with F group,T group decreased in the post operative pain VAS score. Conclution： The use of TEAS can significantly improve the symptoms of pain of breast cancer patients with postoperative.

关 键 词：经皮穴位神经电刺激 乳腺癌根治术 术后镇痛 

分 类 号：R737.9[医药卫生—肿瘤]