电揿针对妇科门诊手术患者的镇痛效果研究  

Research on the analgesic ef fect of electro-press acupuncture on gynecological patients undergoing a surgery

作　　者：李育林 潘太秀 王慧[1] LI Yulin;PAN Taixiu;WANG Hui(.Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学附属医院,长春130021

出　　处：《长春中医药大学学报》2023年第2期184-187,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省科技厅发展计划项目(20210203097SF)。

摘　　要：目的 探讨电揿针用于妇科门诊手术镇痛的临床疗效。方法 选择行妇科门诊手术的180例患者,随机分为电揿针穴位刺激组(针麻组)、药物宫颈麻醉组(局麻组)、静脉复合麻醉(静麻组),各60例。针麻组取合谷、三阴交、中极、关元埋揿针,连接电针宝后行手术;局麻组在宫颈处注射2%利多卡因后行手术;静麻组给予丙泊酚复合地佐辛静脉麻醉行手术。比较3组术中、术后镇痛效果、安全性和不良反应发生情况。结果 针麻组术中、术后镇痛效果均高于局麻组(P <0.05);3组入室后不同时间点位收缩压、舒张压、脉搏、血氧饱和度差异显著(P <0.05);针麻组术中、术后不良反应发生率明显低于局麻组与静麻组(P <0.05)。结论 电揿针用于妇科门诊手术镇痛效果明显,安全性更高,术中、术后不良反应显著减少。Objective To explore the clinical ef fect of electro-press acupuncture for analgesia in outpatient gynecological surgeries.Methods A total of 180 patients who underwent outpatient surgeries in the A ffi liated Hospital of Changchun University of Chinese Medicine were randomly divided into an electro-acupuncture acupoint stimulation group(acupuncture anesthesia group), a drug cervical anesthesia group(local anesthesia group), and an intravenous compound anesthesia group(intravenous anesthesia group),with sixty cases in each group. In the acupuncture anesthesia group, press needles were buried at Hegu, Sanyinjiao, Zhongji and Guanyuan and connected with an electro-acupuncture toolkit before performing an operation. In the local anesthesia group, 2%lidocaine was injected into the cervix before performing an operation, while the intravenous anesthesia group was given propofol combined with diazosine for an operation. The analgesic ef fect, safety and adverse reactions of the three groups were compared during and after operation. Results The analgesic effect during and after operation in the acupuncture anesthesia group was better than that in the local anesthesia group(P <0.05). There were statistically signifi cant dif ferences in the values of systolic blood pressure, diastolic blood pressure, pulse, and blood oxygen saturation among the three groups at dif ferent time points after admission(P <0.05). The incidence of adverse reactions during and after operation was significantly lower in the acupuncture anesthesia group than that in the local anesthesia group and the intravenous anesthesia group(P <0.05). Conclusion Electro-press acupuncture for a gynecological surgery has a noticeable analgesic ef fect, a higher safety, and can signifi cantly lower intraoperative and postoperative adverse reactions.

关 键 词：电揿针 妇科门诊手术 镇痛效果 

分 类 号：R245[医药卫生—针灸推拿学]