电针预处理对结直肠癌手术患者全麻用药及恢复质量的影响  

The Influence of Electroacupuncture Pretreatment on the Drug Use of General Anesthesia and the Quality of Anesthesia Recovery in the Colorectal Cancer Surgery

作　　者：麦思聪 孟尽海[2] 王文娟[2] 郎淑慧[2] 

机构地区：[1]宁夏医科大学,银川750004 [2]宁夏医科大学总医院麻醉科,银川750004

出　　处：《宁夏医科大学学报》2017年第1期42-45,共4页Journal of Ningxia Medical University

摘　　要：目的观察电针预处理对结直肠癌手术患者全麻用药及恢复质量的影响。方法选择择期行开腹结直肠癌手术的患者40例,年龄18~59岁,ASAⅠ~Ⅲ级。随机分为两组,每组20例:A组(全凭静脉麻醉组);B组(全凭静脉麻醉复合右侧足三里、上巨虚、下巨虚穴位电针预处理组)。记录麻醉中丙泊酚、瑞芬太尼、舒芬太尼、顺苯磺酸阿曲库铵的用量,使用血管活性药物的例数,手术结束到患者睁眼、拔除气管导管时间及离室时VAS评分,术后恶心呕吐、躁动及谵妄的例数。结果术前、术中、术后两组患者平均动脉压、心率及血氧饱和度比较差异无统计学意义(P>0.05),两组患者术中及术后平均动脉压、心率、血氧饱和度与同组术前比较差异无统计学意义(P>0.05);B组瑞芬太尼的用量小于A组(P<0.05),两组患者术中丙泊酚、舒芬太尼、顺苯磺酸阿曲库胺用量差异无统计学意义(P>0.05);两组患者术中使用血管活性药物的例数比较差异无统计学意义(P>0.05);两组患者术后睁眼、拔除气管导管时间、离室时VAS评分及术后恶心呕吐、躁动及谵妄的例数比较差异无统计学意义(P>0.05)。结论全凭静脉麻醉复合足三里、上巨虚、下巨虚穴位电针预处理可以减少全身麻醉瑞芬太尼的用量,对其他药物的使用及术后麻醉恢复质量无影响。Objective To analyze the influence of electroacupuncture pretreatment on the drug use of general anesthesia and the quality of anesthesia recovery in the colorectal cancer surgery. Methods Forty patients with colorectal cancer took an elective surgery,aged from 18 to 59,graded ASAⅠ-Ⅲ,were randomly divided into 2groups,with 20 per group： group A（total intravenous anesthesia）;group B（total intravenous anesthesia combined with pretreatment with electroacupuncture on the right acupoints of zusanli,shangjuxu,xiajuxu）. The dosages of propoful,remifentanil,sufentanil,and cisatracurium besilate,the number of patients who used adjuvant drugs,the duration of resuscitation and extubation,the VAS score and the adverse anesthesia reactions were observed.Results The two groups didn＇t show significant differences in the variances of mean arterial pressure,heart rate and oxygen saturation at the preoperative,intraoperative and postoperative（P〉0.05）. Mean arterial pressure,heart rate,oxygen saturation all had no significant differences between two groups at the intraoperative,postpoperative and preoperative（P〉0.05）. Meaningfully,we found that the dosages of remifentanil in group B was significantly less than those of group A（P〈0.05）. However,the dosages of propoful,sufentanil,and cisatracurium besilate,the number of patients who used adjuvant drugs,the duration of resuscitation and extubation,the VAS score and the adverse anesthesia reactions between the two groups did not show significant differences（P〉0.05）. Conclusion Total intravenous anesthesia combined with electroacupuncture preconditioning on the acupoints of the right acupoints of zusanli,shangjuxu,xiajuxu could reduce the dosages of remifentanil,but has no effect on other drugs and the quality of anesthesia recovery.

关 键 词：针刺辅助麻醉 结直肠癌 麻醉药 麻醉恢复质量 

分 类 号：R614[医药卫生—麻醉学] R735.34[医药卫生—外科学]