醒脑开窍针法在中老年患者静脉全麻无痛胃肠镜检查复苏过程中的作用  

“Xingnao Kaiqiao” Needling Stimulation Promotes Resuscitation of General Anesthesia Patients Undergoing Anodynia Gastrointestinal Endoscopy

作　　者：张雁[1] 李哲华[1] 熊阿琴[1] 

机构地区：[1]广州市番禺区中医院内镜室,广州511400

出　　处：《针刺研究》2017年第4期354-357,共4页Acupuncture Research

摘　　要：目的:观察醒脑开窍针法在中老年患者接受静脉全麻无痛胃肠镜检查后的麻醉复苏期间的作用。方法:140例接受静脉全麻无痛胃肠镜检查患者随机分成治疗组和对照组,每组70例。治疗组在检查结束时即刻接受针刺治疗,选取内关、水沟及三阴交,持续操作3min。检查前后进行简易精神状态(MMSE)评分,检查过程记录脑电双频指数(BIS)值,复苏过程进行改良警觉/镇静(OAA/S)评级。结果:与对照组比较,检查结束10min时,治疗组的MMSE评分、BIS值均显著升高(P<0.05)。结论:醒脑开窍针法在中老年患者静脉全麻无痛胃肠镜检查复苏过程中有显著的促醒作用。Objective To observe the effect of＂Xingnao Kaiqiao＂needling on the recovery of general anesthesia in mid-aged and elderly patients undergoing painless gastrointestinal endoscopy.Methods A total of 140 patients were randomly divided into control and treatment groups,with 70 cases in each group.After termination of the endoscopy,patients of the treatment group received acupuncture stimulation of Neiguan（PC 6）,Shuigou（GV 26）and Sanyinjiao（SP 6）with sterilized disposable filiform needles which were manipulated with twirling-reducing method for 3 min in PC 6,with lifting-thrusting reinforcing method in SP 6,and with bird-peck needling in GV 26.The patients of the control group were not given any treatment.Before,the immediate time of termination of the endoscope examination,resuscitation and 10 min after the endoscope examination,the mini-mental state examination（MMSE）scores were obtained to assess the patients＇ recognition function.The Bi-spectral Index（BIS）values were recorded to assess the patients＇ depth of sedation and anesthesia,and the Observer＇s Assessment of Alertness/Sedation Scale（OAA/S）was used to evaluate the resuscitation/sedation level.Results Compared with the control group,the MMSE score of the treatment group was significantly higher at the 10 th min after endoscope examination（P〈0.05）,suggesting an improvement of the cognitive function after acupuncture intervention.The duration from general anesthetic state（BIS values=40-60 points）to mild sedation（BIS values=80-90 points）was significantly shorter in the treatment group than in the control group（P〈0.05）.No significant differences were found between the two groups in the OAA/S score at the 10 th min after endoscope（P〈0.05）.Conclusion ＂Xingnao Kaiqiao＂needling stimulation has a significant effect on the recovery of middleaged and elderly patients undergoing painless gastroscopy during general anesthesia.

关 键 词：针刺 醒脑开窍针法 静脉全麻 无痛胃肠镜检查 复苏干预 

分 类 号：R245.9[医药卫生—针灸推拿学]