电针刺激联合全麻在溃疡病穿孔患者胃大部切除术中的应用  

Application of electroacupuncture stimulation combined with general anesthesia in subtotal gastrectomy in patients with ulcer perforation

作　　者：齐倩颖 QI Qian-ying(Department of Anesthesiology,Nanyang First People’s Hospital,Nanyan,Henan 473101,China)

机构地区：[1]南阳市第一人民医院麻醉科,河南南阳473101

出　　处：《医药论坛杂志》2023年第1期51-54,共4页Journal of Medical Forum

摘　　要：目的 探讨电针刺激联合全麻在溃疡病穿孔患者胃大部切除术中的应用价值。方法 回顾性分析,收集2018年1月—2019年12月南阳市第一人民医院收治的60例胃大部切除术中实施单纯全麻的溃疡病穿孔患者的临床资料,将其纳入A组;并收集同期收治的60例胃大部切除术中实施全麻+电针刺激的溃疡病穿孔患者的临床资料,将其纳入B组。分别比较两组患者术中血流动力学情况[麻醉诱导前10 min(T0)、麻醉诱导后(T1)、气管插管(T2)、切皮10 min(T3)、拔管(T4)、术毕(T5)时患者的平均动脉压(MAP)及心率(HR)]以及苏醒情况[自主呼吸恢复时间、睁眼时间、定向力恢复时间]、围术期不良反应发生率、并发症发生率。结果 两组T1、T2时MAP、HR较T0时呈下降趋势,两组T3、T4、T5时MAP、HR较T2时呈上升趋势,相较于A组,B组MAP、HR变化幅度更小,差异有统计学意义(F=124.014、110.014,P<0.05);B组自主呼吸恢复、睁眼及定向力恢复时间均短于A组,差异有统计学意义(t=6.907、10.306、8.850,P<0.05);B组围术期不良反应发生率低于A组,差异有统计学意义(χ^(2)=4.324,P<0.05);B组神经损伤发生率高于A组,差异有统计学意义(P<0.05)。结论 电针刺激联合全麻可稳定溃疡病穿孔患者胃大部切除术患者的血流动力学水平,提升术后苏醒质量,减少围术期不良反应,但可能造成一定神经损伤。Objective To explore the application value of electroacupuncture stimulation combined with general anesthesia in subtotal gastrectomy in patients with ulcer perforation.Methods A retrospective analysis was conducted, the clinical data of 60 patients with ulcer perforation who underwent simple general anesthesia during subtotal gastrectomy in Nanyang First People’s Hospital of Henan Province from January 2018 to December 2019 were collected and divided into group A;the clinical data of 60 patients with ulcer perforation who underwent general anesthesia + electroacupuncture stimulation during subtotal gastrectomy during the same period were collected and divided into group B.The intraoperative hemodynamics [mean arterial pressure(MAP) and heart rate(HR) of patients at the10 minutes before anesthesia induction(T0),10 minutes after anesthesia induction(T1),endotracheal intubation(T2),10 minutes after skin incision(T3),extubation(T4),end of surgery(T5)] and the awakening situation(recovery time of spontaneous breathing, eye opening time, recovery time of directional force),the incidence of perioperative adverse reactions, and the incidence of complications were compared between the two groups.Results In both group, the MAP and HR at T1 and T2 were decreased compared with those at T0,and MAP and the HR at T3,T4 and T5 were increased compared with those at T2 compared with group A,the change range of MAP and HR in group B was smaller, with statistical significant differences(F=124.014,110.014,P<0.05);the recovery time of spontaneous breathing, eye opening directional force in group B were shorter than those in group A,with a statistical significant difference(t=6.907,10.306,8.850,P<0.05);the incidence of perioperative adverse reactions in group B was lower than that in group A,with a statistical significant difference(χ^(2)=4.324,P<0.05).The incidence of nerve injury in group B was higher than that in group A,and the difference was statistically significant(P<0.05).Conclusion Electroacupuncture stimulation combined w

关 键 词：溃疡病穿孔 胃大部切除术 电针刺激 全麻 血流动力学 苏醒情况 

分 类 号：R573.1[医药卫生—消化系统]