针刺复合麻醉对老年经皮椎体成形术患者应激反应的影响  

Effect of Acupuncture Combined with Anesthesia on Stress Response in Elderly Patients Undergoing Percutaneous Vertebroplasty

作　　者：曾婷[1] ZENG Ting(Guangdong Provincial Hospital of Chinese Medicine,Zhuhai,Zhuhai 519000,China)

机构地区：[1]广东省中医院珠海医院,广东珠海519000

出　　处：《中国医学创新》2023年第14期88-91,共4页Medical Innovation of China

基　　金：广东省中医药局科研项目(20161230)。

摘　　要：目的:探究针刺复合麻醉对老年经皮椎体成形术(PVP)患者应激反应的影响。方法:选取2017年1月-2019年1月广东省中医院珠海医院收治的单节段骨质疏松性椎体压缩骨折患者142例,随机分为试验组、对照1组、对照2组。试验组(n=62)采用针刺合谷、内关、足三里穴配合常规局部麻醉;对照1组(n=40)采用肌内注射帕瑞昔布钠配合常规局部麻醉;对照2组(n=40)采用静脉推注地佐辛配合常规局部麻醉。比较三组穿刺前、穿刺时、骨水泥灌注时、手术结束时的镇静、镇痛程度及麻醉时间、手术时间。结果:三组穿刺前视觉模拟评分法(VAS)评分、各时间点的Ramsay镇静评分、手术时间比较,差异均无统计学意义(P>0.05);穿刺时、骨水泥灌注时、手术结束时三组VAS评分比较,差异均有统计学意义(P<0.05),且试验组与对照2组VAS评分均低于对照1组(P<0.05);三组麻醉时间比较,差异有统计学意义(P<0.05),且试验组麻醉时间较对照1组和对照2组长(P<0.05)。结论:与镇痛药物配合局麻相比,针刺复合麻醉应用于老年PVP患者的优势显著,可延长麻醉时间,减轻疼痛程度。Objective:To investigate the effect of acupuncture combined with anesthesia on stress response in elderly patients undergoing percutaneous vertebroplasty(PVP).Method:A total of 142 patients with single-segment osteoporotic vertebral compression fracture who were admitted to Guangdong Provincial Hospital of Chinese Medicine,Zhuhai from January 2017 to January 2019 were randomly divided into the experimental group,control group 1 and control group 2.The experimental group(n=62)used acupuncture at Hegu,Neiguan and Zusanli points combined with routine local anesthesia.The control group 1(n=40)used Parecoxib Sodium through intramuscularly injected combined with routine local anesthesia.The control group 2(n=40)used Dezocine through intravenous push combined with routine local anesthesia.The degree of sedation and analgesia,anesthesia time and operation time before puncture,at the time of puncture,at the time of bone cement perfusion and at the end of operation were compared among the three groups.Result:There were no significant differences in visual analogue scale(VAS)scores before puncture,Ramsay sedation scores at each time point and operation time among the three groups(P>0.05).There were significant differences in VAS scores among the three groups at the time of puncture,bone cement perfusion and the end of operation(P<0.05),and the VAS scores of the experimental group and the control group 2 were lower than that of the control group 1(P<0.05).The difference of anesthesia time among the three groups was statistically significant(P<0.05),and the anesthesia time in the experimental group was longer than that in the control group 1 and control group 2(P<0.05).Conclusion:Compared with analgesia drugs combined with local anesthesia,acupuncture combined with anesthesia has obvious advantages in elderly PVP patients,which can prolong anesthesia time and reduce pain.

关 键 词：针刺复合麻醉 经皮椎体成形术 应激反应 

分 类 号：R614[医药卫生—麻醉学]