中医临床护理对老年患者全身麻醉术后认知功能恢复影响  

Effect of Clinical Nursing of TCM on the Recovery of Cognitive Function after Operation under General Anesthesia in the Elderly

作　　者：赵鸣月[1] 李昭[1] 

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《辽宁中医药大学学报》2017年第5期222-224,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:比较电针与单纯针刺内关、百会穴对老年患者全身麻醉术后认知功能恢复的临床护理疗效。方法:随机选择择期在全身麻醉下行腹腔镜胆囊切除术的老年患者共90例,随机分为3组分别为对照组、电针组和单纯针刺组,每组各30例。对照组在全身麻醉复苏及术后,予以术后常规护理治疗,连续7 d;电针组予以电针内关、百会穴的中医临床护理,其它条件与对照组保持一致;单纯针刺组予以针刺内关、百会穴的中医临床护理,其它条件与对照组保持一致。比较3组患者术后第1、3、7天的简易精神状态评分(MMSE)和社会功能问卷(FAQ)。结果:3组患者术前FAQ、MMSE评分差异不明显(P>0.05)。术后第1天,比较3组患者FAQ、MMSE评分,与术前均有明显改变(P<0.05)。术后第3天,电针组、单纯针刺组FAQ、MMSE评分与对照组相比,改善较明显(P<0.05)。术后第7天,3组患者FAQ、MMSE评分均恢复至术前水平,3组间MMSE评分与FAQ差异不明显(P>0.05)。结论:术后予电针、单纯针刺内关、百会穴的中医临床护理可改善老年患者全身麻醉术后MMSE评分和FAQ评分,并使患者认知功能快速恢复。在MMSE评分和FAQ改善方面,单纯针刺在数值上比电针好,但统计学无意义(P>0.05)。Objective：To observe the clinical efficacy of electroacupuncture and handle acupuncture at Baihui（GV20）and Neiguan（PC6）in recovering the cognitive function after operation under general anesthesia in the old patients. Methods：90 old patients（age 60-80）who were going to receive laparoscopic cholecystectomy（LC）under general anesthesia were randomized into a control group,electroacupuncture group and handle acupuncture group,30 in each group. The electroacupuncture and handle acupuncture group started to receive electroacupuncture or handle acupuncture at Baihui and Neiguan for consistent 7 days after revived from anesthesia,while the control group received conventional treatment during the same period. The FAQ and Mini-mental State Examination（MMSE）were compared on day 1,3,and 7 after operation. Results：The FAQ and MMSE were statistically insignificant before peration（P〈0.05）. On day 1 after operation,the MMSE changed significantly in 3 groups（P〈0.05）. On post-operative day 3,FAQ and MMSE were significantly changing in the control group compared to that before operation（P〈0.05）,while FAQ and MMSE in the two acupuncture groups were insignificantly different from that before operation（P〉0.05）. On post-operative day 3,the improvements of FAQ and MMSE in the two acupuncture groups were more significant than that in the control group（P〈0.05）. On post-operative day 7,FAQ and MMSE returned to the pre-operative level in 3 groups,and there were no significant differences in comparing the MMSE score and the FAQ between the 3 groups（P〉0.05）. Conclusion：Electroacupuncture and handle acupuncture at Baihui and Neiguan can significantly enhance the recovery of cognitive function.

关 键 词：电针 单纯针刺 麻醉 认知功能 MMSE评分 FAQ 中医临床护理 

分 类 号：R248[医药卫生—中医临床基础] R614.2[医药卫生—中医学]