颊针疗法辅助全麻对子宫肌瘤剔除术后患者的影响  

Effects of cheek needle therapy assisted with general anesthesia on patients after uterine fibroid removal surgery

作　　者：邢凤娟 XING Fengjuan(Department of Anesthesiology,Kaifeng Obstetrics and Gynecology Hospital,Kaifeng 475000,China)

机构地区：[1]开封市妇产医院麻醉科,开封475000

出　　处：《华夏医学》2024年第4期77-82,共6页Acta Medicinae Sinica

基　　金：河南省开封市科技发展计划项目(2203116)。

摘　　要：目的观察颊针疗法辅助全身麻醉对子宫肌瘤剔除术后患者的影响。方法选取134例子宫肌瘤患者为研究对象,按照随机数字表法分为两组,每组67例。患者均接受全麻下子宫肌瘤剔除术治疗,对照组术后予以芳香疗法辅助治疗,试验组采用颊针疗法辅助治疗。比较两组围手术期基础体征,镇痛、镇静效果,术后胃肠反应发生情况,身心状态改善情况及手术应激情况。结果在不同麻醉方案下,试验组T2、T3时HR及MAP均低于对照组,差异有统计学意义(P<0.05);试验组术后1、3 h,视觉模拟疼痛量表(VAS)、恶心呕吐干呕症状评估量表(INVR)的评分均低于对照组,Ramsay镇静评分(RSS)、Kolcaba主观舒适状况量表(GCQ)评分均高于对照组(P<0.05);试验组的术后胃肠反应发生率低于对照组(P<0.05);试验组T4时的去甲肾上腺素(NE)、皮质醇(Cor)均低于对照组(P<0.05)。结论颊针疗法辅助全麻能稳定子宫肌瘤剔除术患者围手术期基础体征,增强麻醉的镇痛、镇静效果,降低胃肠反应发生风险,并减轻手术应激反应。Objective To observe the effect of cheek acupuncture therapy assisted with general anesthesia on gastrointestinal reactions after uterine fibroid removal surgery.Methods 134 patients with uterine fibroids were selected as the study subjects,all of whom received uterine fibroid removal surgery under general anesthesia.They were randomly divided into two groups,with 67 cases in each group.The control group were received adjuvant therapy with aromatherapy after surgery.The experimental group were received cheek acupuncture therapy as an auxiliary treatment.The perioperative basic physical signs,analgesic and sedative effects,postoperative gastrointestinal reactions,physical and mental state improvement,and surgical stress were compared between the two groups of patients.Results Under different anesthesia regimens,the HR and MAP of the experimental group at T2 and T3 were lower than those of the control group,and the difference was statistically significant(P<0.05).The VAS and INVR scores of the experimental group were lower than those of the control group at 1 and 3 h after surgery,while the RSS and GCQ scores were higher than those of the control group(P<0.05).The incidence of postoperative gastrointestinal reactions in the experimental group was lower than that in the control group(P<0.05).The norepinephrine(NE)and cortiso(Cor)of the experimental group T4 were lower than those of the control group(P<0.05).Conclusion Buccal needle therapy assisted with general anesthesia can stabilize the basic signs of patients undergoing uterine fibroid removal surgery during the perioperative period,enhance the analgesic and sedative effects of anesthesia,reduce the risk of gastrointestinal reactions,improve physical and mental health,and alleviate surgical stress reactions,all of which have positive significance.

关 键 词：子宫肌瘤剔除术 全身麻醉 颊针疗法 胃肠反应 手术应激 

分 类 号：R614[医药卫生—麻醉学]