不同频率经皮穴位电刺激对妇科腹腔镜手术患者术后认知功能的影响  

Effect of Different Frequency Transcutaneous Electrical Acupoint Stimulation Treated on the Postoperative Cognitive Function of Patients undergoing Gynecological Laparoscopy

作　　者：魏巍[1] 滕秀飞 杨延超[1] 李秀艳[1] 朱俊超[1] 

机构地区：[1]中国医科大学附属盛京医院麻醉科,辽宁沈阳110004

出　　处：《现代生物医学进展》2017年第1期155-158,共4页Progress in Modern Biomedicine

基　　金：辽宁省自然科学基金项目(20102282);中国医科大学盛京医院三新项目(2015PS57J)

摘　　要：目的:评价不同频率经皮穴位电刺激对妇科腹腔镜手术患者术后认知功能的影响。方法:共选取择期行妇科腹腔镜手术患者80例,根据经皮穴位电刺激频率不同随机分成4组,N组患者20人不做经皮穴位电刺激,E1-E3组患者60人术中在内关、百会和风池穴使用经皮穴位电刺激,其中E1组经皮穴位电刺激频率为2Hz,E2组频率为100 Hz,E3组频率为2/100 Hz。观察四组患者术后认知功能障碍发生率之间的差异。结果:与N组比较E1-E3组POCD的发生率明显较低,差异具有统计学意义(P<0.05)。但E1、E2、E3组患者POCD的发生率比较无明显差异(P>0.05)。结论:经皮穴位电刺激内关、百会和风池穴可有效降低妇科腹腔镜手术患者术后认知功能障碍的发生率,但不同频率参数的刺激效果无明显差异。Objective： To evaluate the effect of different frequency transcutaneous electrical acupoint stimulation treated on the postoperative cognitive function of patients undergoing gynecological laparoscopy. Methods： Eighty patients who were scheduled for elective gynecological laparoscopic surgery were selected and divided into four groups named Group N ang Group E1-E3. Group N enrolled 20 people who were treated without transcutaneous electrical acupoint stimulation, and the other sixty patients treated with different frequency transcutaneous electrical acupoint stimulation in Neiguan, Baihui and Fengchi, referred as group E1-E3. And the frequency of stimulation in E1 was 2Hz, E2 was 100 Hz and E3 was 2/100 Hz. And then the incidence of postoperative cognitive dysfunction（POCD）were compared between the four groups. Results： Grading score as well as the incidence rate of POCD in group N were significantly higher than those of group E1-E3（P〈0.05）, while no significant difference was found between group E1, E2 and E3（P〈0.05）. Conclusion： Transcutaneous electrical acupoint stimulation could reduce the incidence of POCD in gynecological laparoscopic patients. But the frequency of stimulation might have no siginicant difference.

关 键 词：不同频率 经皮穴位电刺激 术后认知功能障碍 

分 类 号：R246.2[医药卫生—针灸推拿学]