电针穴位联合连续硬膜外麻醉对老年阴式全子宫切除患者的影响  

Influence of Electroacupuncture Point Combined with Continuous Epidural Anesthesia on Elderly Patients with Total Vaginal Hysterectomy

作　　者：孙杨 周群[1] 程中贵[2] SUN Yang;ZHOU Qun;CHENG Zhonggui(Jiangxi Maternal and Child Health Hospital,Nanchang 330000,China)

机构地区：[1]江西省妇幼保健院,江西南昌330000 [2]南昌大学第一附属医院

出　　处：《中国医学创新》2021年第24期166-169,共4页Medical Innovation of China

基　　金：江西省中医药科研课题(2019A231)。

摘　　要：目的:探讨电针穴位联合连续硬膜外麻醉(CEA)对老年阴式全子宫切除患者的影响。方法:选择2019年1月-2020年6月在江西省妇幼保健院实施阴式全子宫切除术的60例老年子宫脱垂患者,根据随机数字表法将其分为CEA组与电针穴位组,每组30例。CEA组采用连续硬膜外麻醉,电针穴位组在CEA组的基础上加用电针足三里、三阴交。比较两组术后排气时间、并发症发生情况、麻醉前和麻醉后1 h的血流动力学指标[收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO_(2))]及术后1、4 h的VAS评分。结果:麻醉前,两组SBP、DBP、HR、SpO_(2)比较,差异均无统计学意义(P>0.05)。麻醉后1 h,电针穴位组SBP、DBP、HR均低于麻醉前,但差异均无统计学意义(P>0.05);CEA组SBP、DBP、HR均低于麻醉前,差异均有统计学意义(P<0.05)。麻醉后1 h,两组SpO_(2)比较,差异无统计学意义(P>0.05);电针穴位组SBP、DBP、HR水平均高于CEA组,差异均有统计学意义(P<0.05)。术后1、4 h,电针穴位组的VAS评分均低于CEA组,差异均有统计学意义(P<0.05)。术后4 h,两组VAS评分均低于术后1 h,差异均有统计学意义(P<0.05)。电针穴位组的排气时间为(26.67±5.48)h,短于CEA组的(30.25±6.11)h,差异有统计学意义(P<0.05)。电针穴位组并发症发生率低于CEA组,差异有统计学意义(P<0.05)。结论:老年阴式全子宫切除术患者应用电针穴位联合CEA可有效维持血流动力学稳定,减轻患者疼痛,缩减术后排气时间,降低术后并发症发生率,值得推广。Objective:To investigate the effect of electroacupuncture point combined with continuous epidural anesthesia (CEA) on elderly patients with total vaginal hysterectomy.Method:A total of 60 elderly patients with uterine prolapse who underwent total vaginal hysterectomy in Jiangxi Maternal and Child Health Hospital from January 2019 to June 2020 were selected,and they were divided into CEA group and electroacupuncture point group according to the random number table,30 cases in each group.CEA group was treated with continuous epidural anesthesia,and electroacupuncture point group was treated with electroacupuncture at Zusanli and Sanyinjiao on the basis of the CEA group.Postoperative exhaust time,occurrence of complications were compared between two groups,hemodynamic indexes (SBP,DBP,HR,SpO_(2)) before anesthesia and 1 h after anesthesia,and VAS scores 1,4 h after surgery were compared between two groups.Result:Before anesthesia,there were no significant differences in SBP,DBP,HR,and SpO_(2) between two groups (P>0.05).1 h after anesthesia,the SBP,DBP,and HR of the electroacupuncture point group were lower than those before anesthesia,but the differences were not statistically significant (P>0.05);the SBP,DBP,and HR of the CEA group were lower than those before anesthesia,the differences were statistically significant (P<0.05).1 h after anesthesia,there was no significant difference in SpO_(2) between two groups (P>0.05);the SBP,DBP,and HR of the electroacupuncture point group were higher than those of the CEA group,and the differences were statistically significant (P<0.05).1,4 h after surgery,the VAS scores of the electroacupuncture point group were lower than those of the CEA group,the differences were statistically significant (P<0.05).4 h after surgery,the VAS scores of both groups were lower than those of 1 h after surgery,the differences were statistically significant (P<0.05).The exhaust time of the electroacupuncture point group was (26.67±5.48) h,which was shorter than (30.25±6.11) h of the CEA group,th

关 键 词：阴式全子宫切除术 电针穴位 连续硬膜外麻醉 

分 类 号：R614[医药卫生—麻醉学]