甲状腺术后疼痛的无创穴位电刺激治疗  

A Study of Noninvasive Electrical Acupoint Stimulation in Treating Postoperative Pain of Thyroid

作　　者：韩燕勋 刘业海[1] 袁锦锦 刘雨晨 华仁军 刘伟鹏 许鑫鑫 HAN Yanxun;LIU Yehai;YUAN Jinjin;LIU Yuchen;HUA Renjun;LIU Weipeng;XU Xinxin(Department of Otolaryngology,Head and Neck Surgery,The First Affiliated Hospital of Anhui Medical University,Hefei,230032,China)

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,合肥230022 [2]合肥智法自然电子科技有限公司

出　　处：《中国中西医结合耳鼻咽喉科杂志》2023年第2期131-137,共7页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：安徽医科大学第一附属医院首批“登峰计划”学科建设项目(院科〔2019〕22号);安徽省卫生健康委科研项目“基于互联网智能终端的耳鼻咽喉科部分慢性疾病经络穴位个体化治疗方案的研究”(AHWJ2021b160)。

摘　　要：目的探讨甲状腺术后疼痛的无创治疗方法,为甲状腺术后疼痛寻找新的补充治疗。方法将119名甲状腺术后患者随机分为A、B、C三组,A组使用无创穴位电刺激治疗,B组使用无创穴位电刺激联合药物治疗,C组行药物治疗。记录三组患者术后6h(T1)、术后第1(T2)、2(T3)、3(T4)日使用无创穴位电刺激仪治疗前后的视觉模拟疼痛评分(VAS),比较三组患者恶心、呕吐的发生情况以及术后24、48、72小时的布氏舒适度评分(BCS)。结果T1、T2、T3、T4时段A、B两组VAS评分经穴位治疗后明显下降(P<0.05);三组间VAS评分比较显示B组评分最低,A组与C组间无差异;术后24、48、72小时BCS评分B组最高(P<0.05),A组与C组间术后早期无明显差异,后期A组高于C组(P<0.05)。结论无创穴位电刺激治疗与药物治疗无明显差异,均可有效减轻甲状腺术后疼痛,促进术后恢复,联合使用穴位电刺激与药物治疗的镇痛效果更加显著。Objective To investigate the noninvasive treatment of postoperative thyroid pain,and to find a new effective complementary method for postoperative analgesia of thyroid.Methods 119 patients after thyroid surgery were randomly divided into three groups:group A(Noninvasive Electrical Acupoint Stimulation group),group B(Combined Noninvasive Electrical Acupoint Stimulation with drug group)and group C(Drug group).Recording visual analog pain score(VAS)before and after using Noninvasive Electrical Acupoint Stimulation(NEAS)treatment on postoperative 6 hours(T1),day 1(T2),2(T3)and 3(T4).Comparing the occurrence of nausea and vomiting among the three groups of patients and Bruggrman comfort scale(BCS)of postoperative 24,48,and 72 hours.Results Compared with before NEAS,the VAS scores of group A and group B at T1,T2,T3 and T4 were decreased(P<0.05).Comparison of VAS scores among the three groups showed that group B had the lowest score,and there was no difference between group A and group C.BCS score of group B was the highest in 24 and 48 hours after surgery(P<0.05),and there was no difference between group A and group C.BCS score of group B was still the highest 72 hours after surgery,and that of group A was higher than that of group C(P<0.05).Conclusion There was no significant difference between NEAS and pharmacological treatment,both of which could effectively reduce postoperative pain and promote postoperative recovery,and the analgesic effect of combined use of NEAS and drug was even more significant.

关 键 词：无创穴位电刺激 甲状腺术后疼痛 补充疗法 针药联合镇痛 

分 类 号：R653[医药卫生—外科学]