针刺辅助麻醉对老年腰椎融合术后镇痛效果及不良反应的影响  

Effect of Acupuncture-Assisted Anesthesia on Analgesic Effect and Adverse Reactions After Lumbar Fusion in the Senile

作　　者：顾健坤 马伟斌 姚明 周超瑞 陈国慧 GU Jiankun;MA Weibin;YAO Ming;ZHOU Chaorui;CHEN Guohui

机构地区：[1]海警医院,浙江嘉兴314000

出　　处：《新中医》2022年第11期210-213,共4页New Chinese Medicine

摘　　要：目的:观察针刺辅助麻醉对老年腰椎融合术后镇痛效果及不良反应的影响。方法:选取64例老年腰椎融合术患者,按随机数字表法分为对照组及试验组各32例。对照组以全麻下进行手术治疗,试验组全麻下加针刺疗法结合手术治疗,比较2组手术时间、麻醉药时间、麻醉药用量、手术出血量的差异,比较2组手术前后认知功能[简易精神状态量表(MMSE)]、连线测验时间(TMT)的变化,观察2组术后疼痛[疼痛视觉模拟评分法(VAS)]差异,比较2组术后不良反应发生率。结果:试验组麻醉时间、手术时间均长于对照组,麻醉苏醒时间及手术出血量均小于对照组,差异均有统计学意义(P<0.05)。术后1 d,2组MMSE评分均较术前下降,试验组MMSE评分高于对照组,差异均有统计学意义(P<0.05)。术后1 d,2组TMT时间均较治疗前延长,试验组TMT时间短于对照组,差异均有统计学意义(P<0.05)。试验组术后VAS评分小于对照组,差异有统计学意义(P<0.05)。试验组不良反应发生率为21.88%,对照组为53.13%,2组比较,差异有统计学意义(P<0.05)。结论:针刺辅助麻醉对老年腰椎融合术后镇痛效果较好,可缩短手术苏醒时间,提高患者认知功能,降低不良反应发生率。Objective:To observe the analgesic effect of acupuncture-assisted anesthesia on lumbar fusion in the senile.Methods:A total of 64 cases of senile patients with lumbar fusion and divided into the control group and the experiment group according to the random number table method,with 32 cases in each group.During the operation,the control group was given general anesthesia,and the experiment group was given acupuncture therapy and general anesthesia.The differences of operation time,anesthetic time,anesthetic dosage and surgical bleeding between the two groups were compared.The changes of cognitive function evaluating by Mini-Mental State Scale(MMSE)and the time of Trail-Making Test(TMT)before and after operation as well as the incidence of postoperative adverse reactions were compared between the two groups.The differences of postoperative pain evaluated by Visual Analogue Scale(VAS)in the two groups were observed.Results:The operation time and anesthetic time in the experiment group were longer than those in the control group,anesthesia recovery time was earlier,and surgical bleeding was smaller,differences being significant(P<0.05).Scores of MMSE in the two groups one day after the operation were decreased when compared with those before treatment,and the score in the experiment group was higher than that in the control group,differences being significant(P<0.05).The time of TMT in the two groups one day after the operation was prolonged when compared with that before treatment,and the time in the experiment group was shorter than that in the control group,differences being significant(P<0.05).The score of postoperative VAS in the experiment group was smaller than that in the control group,the difference being significant(P<0.05).The incidence of adverse reactions was 21.88%in the experiment group and 53.13%in the control group,the difference being significant(P<0.05).Conclusion:Acupuncture-assisted anesthesia has a good analgesic effect after lumbar fusion in the senile.It can help shorten the recovery time fro

关 键 词：腰椎融合术 术后镇痛 针刺 麻醉 认知功能 疼痛视觉模拟评分法 

分 类 号：R687.3[医药卫生—骨科学]