耳穴贴压对腹腔镜下胆囊切除术患者麻醉苏醒的影响:随机对照试验  

Effect of auricular point pressure on anaesthetic recovery in the patients undergoing laparoscopic cholecystectomy:a randomized controlled trial

作　　者：王逸 肖蕾[1] 吴延华[1] 秦勤[1] 徐昌霞[1] 陈斌 杨青凤[1] 张园园[1] WANG Yi;XIAO Lei;WU Yanhua;QIN Qin;XU Changxia;CHEN Bin;YANG Qingfeng;ZHANG Yuanyuan(Nursing Department of Jiangsu Hospital of TCM,Nanjing 210029,China)

机构地区：[1]江苏省中医院护理部,南京210029

出　　处：《中国针灸》2024年第12期1383-1387,共5页Chinese Acupuncture & Moxibustion

基　　金：江苏省中医院科技项目:Y21045。

摘　　要：目的:探讨耳穴贴压对腹腔镜下胆囊切除术(LC)患者麻醉苏醒的影响。方法:将104例行LC的患者随机分为试验组(52例,脱落2例)和对照组(52例,剔除2例)。对照组采用常规麻醉方案及苏醒干预;试验组在对照组基础上加用耳穴贴压干预,耳穴选取右侧交感、脑(皮质下)、丘脑、兴奋点、心、足心,于术前1 d进行耳穴贴压,于麻醉开始前(T0)、手术结束即刻(T1)、入复苏室即刻、拔管时(T2)及拔管后10 min(T3)进行按压,每次每穴按压1 min。比较两组患者自主呼吸恢复时间、睁眼时间、气管插管拔除时间、定向力恢复时间、出复苏室时间,观察两组患者T2、T3、出复苏室时(T4)疼痛视觉模拟量表(VAS)评分、Richmond躁动-镇静(RASS)评分及T0、T1、T2、T3循环相关指标[心率(HR)、收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)]。结果:试验组自主呼吸恢复时间、睁眼时间、气管插管拔除时间、定向力恢复时间、出复苏室时间均短于对照组(P<0.01,P<0.05)。两组患者T2、T3、T4时点疼痛VAS、RASS评分及T0、T1、T2、T3时点HR、SBP、DBP、MAP比较差异无统计学意义(P>0.05)。结论:耳穴贴压可缩短LC患者麻醉苏醒时间。Objective To explore the effect of auricular point pressure on anesthetic recovery in the patients undergoing laparoscopic cholecystectomy.Methods One hundred and forty patients undergoing laparoscopic cholecystectomy were randomized into a trial group(52 cases,2 cases dropped out) and a control group(52 cases,2 cases were eliminated).In the control group,the conventional anesthesia program and recovery intervention were adopted.In the trial group,on the basis of the regimen as the control group,the intervention of auricular point pressure was supplemented.The auricular points on the right side were selected,including sympathetic(AH6a),brain(subcortex,AT4),thalamus,exciting point,heart and sore center.One day before operation,the auricular point pressure started;and the auricular points were stimulated specially before anesthesia(T0),at the moment of operation ending(T1),when entering the recovery room,at the moment of the tube removal(T2) and in 10 min of the tube removal(T3),respectively;each auricular point was pressed for 1 min a time.The recovery time of spontaneous breathing,the time of eye opening,the removal time of endotracheal tube,the recovery time of orientation,and the time of exiting recovery room were compared between the two groups.The score of pain visual analogue scale(VAS) and that of Richmond agitation-sedation scale(RASS) at T2,T3 and when exiting recovery room(T4),and the relevant circulatory indexes(heart rate [HR],systolic blood pressure [SBP],diastolic blood pressure [DBP] and mean arterial pressure [MAP]) at T0,T1,T2 and T3 were observed in the two groups.Results In the trial group,the recovery time of spontaneous breathing,the time of eye opening,the removal time of endotracheal tube,the recovery time of orientation,the time of exiting recovery room were shorter than those of the control group(P<0.01,P<0.05).The pain VAS and RASS scores at T2,T3 and T4,as well as HR,SBP,DBP and MAP at T0,T1,T2 and T3 were not different statistically between the two groups(P>0.05).Conclusion Auricular po

关 键 词：腹腔镜下胆囊切除术 麻醉苏醒 耳穴贴压 随机对照试验 

分 类 号：R248.2[医药卫生—中医临床基础]