电针麻醉在老年患者大肠宽基息肉切除术中的应用效果观察  

Observation of Electroacupuncture Analgesia on Colorectal Wide Polypectomy in Elderly Patients

作　　者：雷剑[1] 许宏亮[1] LEI Jian XU Hongliang

机构地区：[1]中国中医科学院广安门医院南区,北京102618

出　　处：《新中医》2017年第1期155-157,共3页New Chinese Medicine

摘　　要：目的:探讨电针麻醉在老年患者大肠宽基息肉切除术中的临床应用价值。方法:将60例确诊为大肠宽基息肉的老年患者随机分为2组各30例,对照组采用静脉给药麻醉,实验组采用静脉给药麻醉联合复合电针麻醉,比较2组患者的麻醉效果(Ramsay镇静评分、恶心评分、呕吐评分)与疼痛视觉模拟评分法(VAS)评分,评价2种麻醉方式在老年患者大肠宽基息肉切除术中的安全性及有效性。结果:术后,实验组VAS评分、呕吐评分、恶心评分、Ramsay镇静评分均低于对照组(P<0.01)。结论:手术过程中应用电针麻醉可有效缓解老年患者的术后疼痛、烦躁及恶心、呕吐等症状,改善术后精神状态,促进患者全身机能及胃肠功能的恢复,安全性较高。Objective：To observe clinical application value of electroacupuncture analgesia on colorectal wide polypectomy in elderly patients.Methods：Selected 60 elderly patients with colorectal wide polypectomy and divided them into 2 groups randomly.The control group was treated with intravenous anesthesia,the experimental group was given intravenous anesthesia combine with compound electroacupuncture analgesia.Compared scores of anesthetic effect（Ramsay sedation score,nausea scores,vomiting scores） and visual analogue scale（VAS）,evaluated safety and efficiency of the two kinds of anesthesia methods in elderly patients with colorectal wide polypectomy.Results：After operation,scores of VAS,vomiting,nausea and Ramsay sedation in the experimental group were all lower than those in the control group（P〈0.01）.Conclusion：Application of electroacupuncture analgesia during operation can decrease symptoms of postoperative agitation,nausea and vomiting in elder patients,improve mental status after operation,promote physical functions and gastrointestinal function recovery,and has high safety.

关 键 词：大肠宽基息肉切除术 电针麻醉 胃肠功能 RAMSAY镇静评分 

分 类 号：R619[医药卫生—外科学]