低频电刺激在腹腔镜全子宫切除术后的应用效果  

Effect analysis of low frequency electrical stimulation after laparoscopic total hysterectomy

作　　者：张晶 朱燕 吉中磊 张加苗 王坚青 ZHANG Jing;ZHU Yan;JI Zhongei;ZHANG Jiamiao;WANG Jianqing(Department of Obstetrics and Gynecology,Yancheng Clinical College,Xuzhou Medical University/Yancheng NO.1 People's Hospital,Yancheng,Jiangsu,224006,China)

机构地区：[1]徐州医科大学盐城临床学院(盐城市第一人民医院)妇产科,江苏盐城224006

出　　处：《当代医学》2023年第28期78-82,共5页Contemporary Medicine

基　　金：2020年盐城市医学科技发展计划项目(YK2020006)。

摘　　要：目的探讨低频电刺激用于腹腔镜全子宫切除术对患者术后胃肠功能恢复、疼痛评分及尿潴留的影响。方法选取2020年3月至2021年5月盐城市第一人民医院收治的96例行腹腔镜全子宫切除术患者作为研究对象,根据术后干预方法不同分对照组(n=36)与观察组(n=60)。对照组给予自控静脉镇痛联合盆底肌功能康复训练,观察组在对照组基础上联合低频电刺激,比较两组术后胃肠功能恢复情况、疼痛评分、镇痛泵使用次数及术后尿潴留发生情况。结果观察组术后肠鸣音出现时间、首次肛门排气时间及首次排便时间均短于对照组,差异有统计学意义(P<0.05)。术后1、3d,两组血清胃泌素释放肽前体(ProGRP)水平均低于术前,且术后3d低于术后1d,差异有统计学意义(P<0.05)。术前,两组ProGRP水平比较差异无统计学意义;术后1、3d,观察组血清ProGRP水平均低于对照组,差异有统计学意义(P<0.05)。术后12、24、48、72h,观察组VAS评分均低于前一时间点,差异有统计学意义(P<0.05);术后12、24、48h,对照组VAS评分均低于前一时间点,且术后72h低于术后4、12、24h,差异有统计学意义(P<0.05),但术后72h与术后48h比较差异无统计学意义。术后4h,两组VAS评分比较差异无统计学意义;两组术后12、24、48、72h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后自控静脉镇痛泵使用次数少于对照组,差异有统计学意义(P<0.05)。观察组膀胱残余尿量明显少于对照组,术后尿潴留发生率低于对照组(P<0.05)。结论低频电刺激用于腹腔镜全子宫切除术可促进术后胃肠功能恢复,缓解疼痛,还能降低术后尿潴留发生率。Objective To investigate the effects of low-frequency electrical stimulation on gastrointestinal function recovery,pain score and uri-nary retention in patients undergoing laparoscopic total hysterectomy.Methods 96 patients undergoing laparoscopic total hysterectomy in Yancheng NO.1 People's Hospital from March 2020 to May 2021 were selected as the research subjects,and they were divided into the control group(n=36)and the observation group(n=60)according to different postoperative intervention methods.The control group was given patient-controlled intrave-nous analgesia combined with pelvic floor muscle function rehabilitation training,the observation group was combined with low-frequency electrical stimulation on the basis of the control group,the postoperative gastrointestinal function recovery,pain score,analgesic pump use times and postopera-tive urinary retention were compared between the two groups.Results The occurrence time of postoperative bowel sounds,the first anal exhaust time and the first defecation time in the observation group were shorter than those in the control group,and the differences were statistically signifi-cant(P<0.05).At 1,3 d after operation,the levels of serum pro-gastrin-releasingpeptide(ProGRP)of the two groups were lower than those before operation,and the levels at the 3 d after operation were lower than those at 1 d after operation,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in ProGRP level between the two groups;at 1,3 d after operation,the serum ProGRP levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 12,24,48 and 72 h after operation,the VAS scores in the observation group were lower than those at the previous time point,and the differences were statistically signifi-cant(P<0.05);at 12,24 and 48 h after operation,the VAS scores in the control group were lower than those at the previous time point,and the VAS scores at 72 h aft

关 键 词：腹腔镜全子宫切除术 低频电刺激疗法 胃肠功能 尿潴留 疼痛 

分 类 号：R713.42[医药卫生—妇产科学]