电针足三里穴联合纳布啡对混合痔患者术中腹痛的影响  

Effect of electroacupuncture at zúsānlǐpoint combined with Nalbuphine on abdominal pain of patients during mixed hemorrhoid surgery

作　　者：卢跃 汉晓云 焦浩 LU Yue;HAN Xiaoyun;JIAO Hao(Department of Anesthesiology,Shijiazhuang Municipal Hospital of Traditional Chinese Medicine,Hebei Province,Shijiazhuang050000,China;Ward Three,Department of Anorectal,Shijiazhuang Municipal Hospital of Traditional Chinese Medicine,Hebei Province,Shijiazhuang050000,China)

机构地区：[1]石家庄市中医院麻醉科,河北石家庄050000 [2]石家庄市中医院肛肠三科,河北石家庄050000

出　　处：《中国医药导报》2021年第34期105-108,112,共5页China Medical Herald

基　　金：河北省中医药管理局中医药类科研计划项目(2021253)。

摘　　要：目的观察电针足三里穴联合纳布啡对混合痔手术中腹痛患者的影响。方法选取2020年9月至2021年1月石家庄市中医院收治的混合痔患者80例,依据随机数字表法,分为两组,每组40例。对照组术中予以纳布啡,观察组术中予以电针足三里穴联合纳布啡,针刺持续20 min。比较两组术中腹痛发生率,采用视觉模拟评分法(VAS)评价腹痛患者的疼痛程度;比较两组麻醉前、术前、手术结束即刻收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO_(2))和心电图(ECG)变化;比较两组术前、手术结束即刻、术后24 h血清神经递质水平[P物质(SP)、神经激肽1(NK-1)];记录两组不良反应发生情况。结果观察组术中腹痛发生率和VAS评分均低于对照组(P<0.05)。两组术前SBP、DBP、HR均高于麻醉前,手术结束即刻SBP、DBP、HR均低于术前(P<0.05);两组不同时间点SBP、DBP、HR、SpO_(2)比较,差异均无统计学意义(P>0.05)。两组各时间点ECG均无异常变化。两组手术结束即刻和术后24 h血清SP、NK-1水平均高于术前,术后24 h血清SP、NK-1水平均低于手术结束即刻(P<0.05);观察组手术结束即刻和术后24 h血清SP、NK-1水平均低于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论对混合痔手术患者实施电针足三里穴联合纳布啡可减轻腹痛程度,调节血清神经递质水平,且安全性好。Objective To observe the effect of electroacupuncture at zúsānlǐpoint combined with Nalbuphine on patients with abdominal pain during mixed hemorrhoid surgery.Methods A total of 80 patients with mixed hemorrhoids admitted to Shijiazhuang Municipal Hospital of Traditional Chinese Medicine from September 2020 to January 2021 were selected,and they were divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with Nalbuphine intraoperatively,while the observation group was treated with electroacupuncture at zúsānlǐpoint combined with Nalbuphine intraoperatively,electroacupuncture lasts 20 min.The incidence of abdominal pain was compared between two groups,and the pain degree of patients with abdominal pain was evaluated by visual analog scale(VAS).Systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),blood oxygen saturation(SpO_(2)),and electrogram(ECG)were compared between two groups before anesthesia,before surgery and immediately after surgery;the serum neurotransmitter levels(substance P[SP]and neurokinin 1[NK-1])were compared between two groups before surgery,immediately after surgery,and 24 h after surgery;the incidence of adverse reactions in the two groups was recorded.Results The incidence of abdominal pain and VAS score in observation group was lower than that in the control group(P<0.05).SBP,DBP,and HR of two groups before surgery were higher than those before anesthesia,SBP,DBP,and HR at immediately after surgery were lower than those before surgery(P<0.05).There were no significant differences in SBP,DBP,HR,and SpO_(2) between two groups at different time points(P>0.05).There was no abnormal change of ECG in both groups at different time points.The levels of SP and NK-1 at immediately after surgery and 24 h after surgery in both groups were higher than those before surgery(P<0.05),and the levels of SP and NK-1 at 24 h after surgery were lower than those at immediately after surgery(P<0.05).The levels of serum

关 键 词：电针 足三里穴 纳布啡 混合痔 

分 类 号：R614[医药卫生—麻醉学]