经皮穴位电刺激联合低浓度布比卡因腰麻对混合痔患者术后尿潴留的影响  

Effect of transcutaneous electrical acupoint stimulation combined with low concentration bupivacaine spinal anesthesia on urinary retention after mixed hemorrhoids surgery

作　　者：王娜[1] 汪彦良 廖永新 贾静 任莹 WANG Na;WANG Yan-liang;LIAO Yong-xin;JIA Jing;REN Ying(Department of Anesthesiology,Baoding Hospital,Guang anmen Hospital,China Academy of Chinese Medical Sciences,Baoding 071000,Hebei,China)

机构地区：[1]中国中医科学院广安门医院保定医院麻醉科,河北保定071000

出　　处：《川北医学院学报》2024年第5期665-667,共3页Journal of North Sichuan Medical College

基　　金：河北省保定市科技计划项目(2241ZF268)。

摘　　要：目的:探讨经皮穴位电刺激(TEAS)联合低浓度布比卡因腰麻对混合痔患者术后尿潴留(POUR)的影响。方法:选取60例混合痔手术患者为研究对象,根据麻醉中是否给予电刺激分为电刺激组和对照组,每组各30例。两组患者均实施低浓度布比卡因蛛网膜下腔阻滞麻醉,同时电刺激组予以TEAS,持续至术毕;对照组不予以电刺激。比较两组患者术后首次排尿等待时间、术后首次排尿量、POUR及导尿发生情况。结果:电刺激组首次排尿等待时间短于对照组(P<0.05);首次排尿量多于对照组[(253.87±19.55)mL vs.(168.79±20.14)mL,P<0.05];POUR发生率、导尿发生率低于对照组[6.67%vs.30.00%,6.67%vs.33.33%,P<0.05]。结论:TEAS联合低浓度布比卡因腰麻有助于降低混合痔术后POUR发生率,值得临床推广。Objective:To investigate the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with low concentration bupivacaine spinal anesthesia on postoperative urinary retention(POUR)in patients with mixed hemorrhoids after mixed hemorrhoid surgery.Methods:60 patients with mixed hemorrhoids were divided into electrical stimulation group and control group according to whether electrical stimulation was given during anesthesia,with 30 cases in each group.The electrical stimulation group was given TEAS until the end of operation,while the control group was not given electrical stimulation.Low concentration bupivacaine subarachnoid block was performed in both groups.The waiting time for the first urination after operation,the first urination after operation,the incidence of POUR and catheterization were compared between the two groups.Results:Compared with the control group,the waiting time for the first urination in the electrical stimulation group was shorter(P<0.05).The first urination volume of the electrical stimulation group was(253.87±19.55)mL,which was higher than that of the control group(168.79±20.14)mL(P<0.05).The incidence of POUR and catheterization in the electrical stimulation group were 6.67%and 30.00%,respectively,which were lower than 6.67%and 33.33%in the control group(P<0.05).Conclusion:TEAS combined with low concentration bupivacaine spinal anesthesia can reduce the incidence of POUR after mixed hemorrhoids surgery,and is worthy of clinical promotion.

关 键 词：混合痔 术后尿潴留 腰麻 经皮穴位电刺激 

分 类 号：R657.1[医药卫生—外科学]