经皮穴位电刺激联合靶控输注丙泊酚在无痛胃镜检查中的应用  

Application of Percutaneous Acupoint Electrical Stimulation Combined with Target Controlled Infusion of Propofol in Painless Gastroscopy Examination

作　　者：朱睿 蔡娅男 吴红 ZHU Rui;CAI Ya-nan;WU Hong(East Campus,Shenzhen Hospital〈Guangming〉,University of Chinese Academy of Sciences,Shenzhen518107)

机构地区：[1]中国科学院大学深圳医院〈光明〉东院区,深圳518107

出　　处：《实用中西医结合临床》2023年第23期1-4,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广东省深圳市光明区软科学研究项目(编号:2021R01038)。

摘　　要：目的:探讨经皮穴位电刺激(TEAS)联合靶控输注(TCI)丙泊酚在无痛胃镜检查中的应用效果。方法:前瞻性选取2022年1月至2023年7月中国科学院大学深圳医院80例接受无痛胃镜检查的患者,依据随机数字表法分为对照组(40例)与研究组(40例),对照组采用TCI丙泊酚,研究组采用TEAS联合TCI丙泊酚,对比两组麻醉效果、不同时间[基础状态(T0)、胃镜过声门时(T1)、胃镜插入2 min(T2)、检查结束后睁眼时(T3)、入复苏室后5 min(T4)、离开复苏室时(T5)]生命体征情况[心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO_(2))]、术中及术后副反应情况,并记录两组丙泊酚追加量、丙泊酚总用量。结果:研究组改良的警觉/镇静评分(OAA/S)达1分时间、镜检时间、苏醒时间、恢复室停留时间均短于对照组(P<0.05);T1时,两组MAP、HR、SpO_(2)水平降低,T2时,两组MAP、HR、SpO_(2)水平回升,T3、T4、T5时两组MAP、HR水平缓慢降低,SpO_(2)缓慢回升,其中研究组各指标变化幅度小于对照组(P<0.05);研究组术中副反应发生率低于对照组(P<0.05);研究组丙泊酚追加量、丙泊酚总用量均少于对照组(P<0.05)。结论:经皮穴位电刺激刺激孔最、内关两穴联合TCI丙泊酚在无痛胃镜检查患者中具有良好应用效果,能够维持患者生命体征平稳,减轻应激反应,减少丙泊酚使用剂量,缩短苏醒时间,提高麻醉效果。Objective:To investigate the application effect of percutaneous acupoint electrical stimulation(TEAS)combined with target controlled infusion(TCI)of propofol in painless gastroscopy examination.Methods:From January 2022 to July 2023,80 patients who underwent painless gastroscopy in Shenzhen Hospital,University of Chinese Academy of Sciences were prospectively selected and divided into a control group(40 cases)and a study group(40 cases)according to the random number table.The control group was treated with TCI propofol,and the study group was treated with TEAS combined with TCI propofol.The anesthetic effects of the two groups were compared vital signs(HR,MAP,RR,SpO_(2)),intraoperative and postoperative side reactions were recorded at different times[baseline state(T0),time of gastroscopy passing through the glottis(T1),2 minutes of gastroscopy insertion(T2),time of eyes opening after examination(T3),such as 5 minutes after resuscitation room(T4),time of leaving the resuscitation room(T5)],and the additional propofol dosage and total propofol dosage of the two groups were recorded.Result:The time when the improved Observer's Assessment of Alertness/Sedation(OAA/S)score reached 1 point,microscopic examination time,awakening time,and recovery room stay time were shorter than those of the control group(P<0.05).At T1,the levels of MAP,HR,and SpO_(2) in both groups decreased;at T2,the levels of MAP,HR,and SpO_(2) in both groups increased;at T3,T4,and T5,the levels of MAP and HR in both groups slowly decreased,while SpO_(2) slowly increased;the changes of various indicators in the study group were smaller than those in the control group(P<0.05).The incidence of intraoperative side effects in the study group was lower than that in the control group(P<0.05).The additional propofol dosage and total propofol dosage in the study group were lower than those in the control group(P<0.05).Conclusion:Percutaneous electrical stimulation to stimulate the two acupoints of Kongzui and Neiguan combined with TCI propofol has a good ap

关 键 词：经皮穴位电刺激 胃镜 孔最 内关 丙泊酚 靶控输注 

分 类 号：R614[医药卫生—麻醉学]