经皮穴位电刺激用于献血相关血管迷走神经反应的效果观察  

Effect of transcutaneous electrical acupoint stimulation on the treatment of donation related vasovagal reaction

作　　者：胡一帆 李光全 刘义全 王萍 HU Yifan;LI Guangquan;LIU Yiquan;WANG Ping(Xianyang Central Blood Station,Xianyang 712046,China;Xian Yang Central Hospital)

机构地区：[1]咸阳市中心血站,陕西咸阳712046 [2]咸阳市中心医院

出　　处：《中国输血杂志》2022年第5期566-568,共3页Chinese Journal of Blood Transfusion

摘　　要：目的 探讨经皮穴位电刺激(TEAS)用于处置献血相关血管迷走神经反应(DRVR)的应用价值。方法 选取2020年1月~2021年11月本站1、2号流动采血车上发生DRVR献血者作为研究对象,根据不同处置方法分为TEAS组和对照组,发生DRVR后,对照组采取立即停止采血,头低脚高位,头偏向一侧,松开衣领或紧身衣服,晕厥时给予人中、合谷穴位按压,监测脉搏和血压,献血者意识恢复后饮用适量液体等常规处置方法;TEAS组在以上处置方法的基础上加用TEAS。2组内按DRVR症状分为无晕厥DRVR和晕厥DRVR。对比不同处置方式对无晕厥DRVR和晕厥DRVR的处置效果。结果 无晕厥DRVR的TEAS组总有效率(97.33%)高于对照组(91.13%),P<0.05;晕厥DRVR的TEAS组总有效率(97.06%)高于对照组(76.67%),P<0.05;献血者献血前与经2种方法处置后个人血压、心率的变化值TEAS组[收缩压变化值(5.24±2.87)mmHg、舒张压变化值(3.17±2.24)mmHg、心率变化值(2.71±0.35)次/min]均低于对照组[收缩压变化值(7.42±3.44)mmHg、舒张压变化值(3.67±2.51)mmHg、心率变化值(3.46±0.49)次/min],P<0.05。结论 加用TEAS处置DRVR效果优于常规处置方式,尤其是对有晕厥DRVR,能快速、有效的改善晕厥相关症状、缩短恢复时间,且安全无创、操作简便、经济有效,在街头采血环境中的具有一定的应用推广价值。Objective To analyze the application value of transcutaneous electrical acupoint stimulation(TEAS) in treating blood donation-related vasovagal reaction(DRVR).Methods The donors, experienced DRVR in our No.1 and No.2 mobile blood donation trucks from January 2020 to November 2021,were selected as research subjects and divided into TEAS group and control group, according to different treatment methods.After the occurrence of DRVR,the control group adopted routine treatment methods, such as stoping phlebotomy immediately, laid flat on the back with the feet higher than the head, head tilted to one side, and loosing collar or tight clothes.In case of syncope, acupressure was given to Renzhong and Hegu, pulse and blood pressure were monitored, and blood donors were provided with proper amount of liquid after consciousness recovery.The TEAS group received extra TEAS treatment based on the above methods.According to the symptoms of DRVR,the two groups were sub-divided into non-syncope DRVR and syncope DRVR to observe the effect of different treatments.Results The total effective rate of TEAS in non-syncope DRVR(97.33%) and syncope DRVR group(97.06%) was higher than those of control group(vs 91.13% and 76.67%)(P<0.05).The changes of blood pressure and heart rate of blood donors before blood donation and after treatment with the two methods in the TEAS group were lower than those in the control group(systolic blood pressure change value 5.24±2.87 mmHg vs 7.42±3.44 mmHg, diastolic blood pressure change value 3.17±2.24 mmHg vs 3.67±2.51 mmHg, heart rate change value 2.71±0.35 beats/min vs 3.46±0.49 beats/min),P<0.05.Conclusion TEAS has better effect than conventional treatments, especially for DRVR with syncope, and can quickly and effectively improve the syncope related symptoms and shorten the recovery time.Moreover, it is safe, non-invasive, simple economic and effective, which deserves application and popularization in mobile blood donation sites.

关 键 词：经皮穴位电刺激 献血相关迷走神经反应 无偿献血 

分 类 号：R457.1[医药卫生—治疗学]