不同强度经皮穴位电刺激干预对胸腔镜术后患者追加镇痛药物剂量的影响  

Effect of different intensity percutaneous electrical acupoint stimulation interventions on additional analgesic drug doses in patients after thoracoscopic surgery

作　　者：单靓 沈洪[1] SHAN Liang;SHEN Hong(Department of Cardio thoracic Surgery,Ten Wards,Third People's Hospital of Nantong,Nantong,Jiangsu 226000,China)

机构地区：[1]南通市第三人民医院十病区心胸外科,江苏南通226000

出　　处：《中国国境卫生检疫杂志》2022年第S01期38-40,共3页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的探究不同强度经皮穴位电刺激干预对胸腔镜术后患者追加镇痛药物剂量的影响。方法选取2018年6月-2019年8月至我院行胸腔镜肺叶切除手术的60例患者为研究对象.采用随机数字表法将患者分为低强度TEAS镇痛组、中强度TEAS镇痛组、高强度TEAS镇痛组和电针镇痛组,每组15人,记录并分析相关结果。结果术后48h、72 h,中强度TEAS组和电针组患者疼痛程度优于高强度TEAS组(P<0.05);术后72 h内.高强度TEAS组患者术后追加镇痛药物患者例数多于中强度TEAS组、电针组(P<0.05);低强度TEAS组追加瑞芬太尼剂量明显少于中强度TEAS组、高强度TEAS组、电针组(P<0.05)。结论中强度TEAS对胸腔镜手术患者术后镇痛疗效最显著,优于低强度、高强度TEAS,与电针相当,中强度TEAS更有利于减少胸腔镜术后患者镇痛药物的用量。Objective To explore the effects of different intensity of percutaneous acupoint electrical stimulation intervention on the dosage of additional analgesics in patients after thoracoscopy.Methods A total of 60 patients who underwent thoracoscopic lobectomy from June 2018 to August 2019 were selected as the study subjects,and the patients were divided into low-intensity TEAS analgesia group,medium-intensity TEAS analgesia group,high-intensity TEAS analgesia group and electroacupuncture analgesia group by random number table method,with 15 people in each group,and the relevant results were recorded and analyzed.Results 48 h and 72 h after surgery,the pain degree of moderate intensity TEAS group and electroacupuncture group was better than that of high intensity TEAS group(P<0.05);Within 72 h after surgery,the number of patients receiving postoperative analgesics in high-intensity TEAS group was higher than that in medium-intensity TEAS group and electroacupuncture group(P<0.05).The dosage of remifentanil in low-intensity TEAS group was significantly lower than that in medium-intensity TEAS group,high-intensity TEAS group and electroacupuncture group(P<0.05).Conclusion Mediumintensity TEAS has the most significant effect on postoperative analgesia in patients undergoing thoracoscopic surgery,which is better than low-intensity and high-intensity TEAS and equivalent to electroacupuncture.Mediumintensity TEAS is more beneficial to reduce the amount of analgesics in patients undergoing thoracoscopic surgery.

关 键 词：不同强度 经皮穴位电刺激干预 胸腔镜手术 追加镇痛药物剂量 

分 类 号：R183[医药卫生—流行病学]