经皮穴位电刺激复合全麻对腹腔镜卵巢囊肿切除术后并发症的影响  

Effect of Transcutaneous Electrical Acupoint Stimulation Combined General Anesthesia on Postoperative Complications of Laparoscopic Ovarian Cyst Excision

作　　者：郭颖强[1] 吴维[1] 杨宗林[1] 张玉勤[1] 邰迎春[1] 郑荣芝[1] 

机构地区：[1]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《辽宁中医药大学学报》2016年第8期100-102,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：陕西省教育厅专项科研计划项目(2013JK0801)

摘　　要：目的：研究经皮穴位电刺激（Transcutaneous Electrical Acupoint Stimulation,TEAS）复合全麻对腹腔镜卵巢囊肿切除术后并发症的影响。方法：选择ASAⅠ~Ⅱ级择期行腹腔镜卵巢囊肿切除术的患者60例,随机分为经皮穴位电刺激复合全麻组（Ⅰ组）和全凭静脉麻醉组（Ⅱ组）,每组30例。Ⅰ组入室后于双侧内关和足三里贴电极刺激片并连接穴位电刺激仪,行穴位电刺30 min;Ⅱ组患者入室后,在和Ⅰ组相同部位贴电极刺激片,但不连接穴位电刺激仪,静置30 min。2组麻醉诱导、气管插管、麻醉维持相同。Ⅰ组持续电刺激至缝皮结束,Ⅱ组整个术程未行电刺激。观察并记录术后48 h内2组患者出现心律失常、肩部疼痛、恶心呕吐（PONV）的例数;记录术后肠鸣音恢复时间、肛门首次排气时间和排便时间。结果：Ⅰ组术后48 h内心律失常、肩部疼痛、恶心呕吐（PONV）发生率明显低于Ⅱ组（P〈0.01）;Ⅰ组术后肠鸣音恢复时间、肛门首次排气时间和排便时间明显早于Ⅱ组（P〈0.05,P〈0.01）。结论：经皮穴位电刺激可显著减少或缩短腹腔镜术后各种并发症的发生和持续时间。Objective：To observe the effect of transcutaneous electrical acupoint stimulation（TEAS）combined general anesthesia on postoperative complications of laparoscopic ovarian cyst excision. Methods：Choose ASAⅠ~Ⅱ patients undergoing elective laparoscopic ovarian cyst resection,60 cases were randomly divided into the transcutaneous electrical acupoint stimulation compound general anesthesia group（groupⅠ）and all by intravenous anesthesia group（groupⅡ）,30 cases in each group. Group I after entering in Neiguan and Zusanli acupoint paste electrode stimulation tablets and connected electrical stimulation,electrical acupoint stimulation for 30 min;groupⅡafter entering into the room,the group of patients with the same position in the same place as the electrode,but not connected to the electric stimulation device,static 30 min. Anesthesia induction,endotracheal intubation and anesthesia maintenance were the same in the 2 groups. GroupⅠ continued to stimulate to the end of the suture,groupⅡ of the whole operation process no electrical stimulation. Observe and record within 48 hours in 2 groups of patients with cardiac arrhythmias,shoulder pain,postoperative nausea and vomiting（PONV）cases;record the postoperative recovery time of bowel sound,anal exhaust time and defecation time. Results：GroupⅠ within 48 hours of postoperative arrhythmia,shoulder pain,PONV was lower than that in group Ⅱ incidence（P〈0.01）;GroupⅠpostoperative bowel sounds recovery time,anal exhaust time and defecation time was earlier than that in group II（P〈0.05,P〈0.01）. Conclusion：TEAS can significantly reduce the occurrence or shorten the laparoscopic postoperative complications and duration.

关 键 词：经皮穴位电刺激 全麻 腹腔镜 卵巢囊肿切除术 

分 类 号：R711.75[医药卫生—妇产科学]