经皮穴位电刺激辅助局部麻醉在乳腺麦默通微创旋切术中的临床分析  

Clinical analysis of TEAS assisted with local anesthesia on mammotome minimally invasive operation of breast

作　　者：杨亚利[1] 张继兵[1] 

机构地区：[1]河南省人民医院麻醉科,郑州450003

出　　处：《中国实用医刊》2016年第5期60-61,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨经皮穴位电刺激（TEAS）辅助局部麻醉在乳腺麦默通微创旋切术中的临床应用。方法将河南省人民医院收治的60例乳腺疾病患者随机分为实验组和对照组，实验组为经皮穴位电刺激辅助局麻组（n=30），对照组为全凭局麻组（n=30），比较两组患者的血流动力学指标和脑电双频指数值（BIS）。结果手术开始前，实验组心率（nR）、收缩压（SBP）和舒张压（DBP）值较基础值均有明显下降（P〈0．01）；手术开始10min后，实验组HR、SBP和BIS值较基础值仍有下降（P〈0．01）；两组HR、SBP和BIS值比较差异有统计学意义（P〈0．01）。结论TEAS辅助局部麻醉是一种经济有效的麻醉方法，并且有利于患者血流动力学的稳定，提高麻醉的质量，具有良好的临床应用价值。Objective To invesigate the clinical application of transcutaneous aeupoint electrical stimulation （TEAS） assisted with local anesthesia on mammotome minimally invasive operation of breast. Methods Sixty mammary gland patients who were admitted in Henan provincial people＇ s hospital were randomly divided into experiment group and control group. Experiment group was the group treated with TEAS assisted with local anesthesia group （n = 30） and control group was that only with local anesthesia group （ n = 30 ）. Hemodynamie indexes and brain electricity bispeetral index （BIS） value for patients between the two groups were compared. Results Before the operation, the value of heart rate （HR）, systolic blood pressure （SBP） and diastolic blood pressure （DBP） in experiment group were significantly decreased compared with the basic value （ P 〈 0. 01 ） ; At 10 rain after operation, HR, SBP and BIS value were still decreased compared with the basic value （P 〈 0. 01 ） ; Compared with the control group, the differences of HR, SBP and BIS value were statistically significant （ P 〈 0. 01 ）. Conclusions TEAS assisted with local anesthesia is an economical and effective anesthetic method, which is beneficial to patients＇ hemodynamie stability and helps to improve the anesthesia quality, showing a good clinical application value.

关 键 词：经皮穴位电刺激 局部麻醉 麦默通微创旋切术 临床应用 

分 类 号：R971.2[医药卫生—药品]