经皮穴位电刺激对气道狭窄患者硬质支气管镜术后咽喉痛的影响  

Effect of transcutaneous electrical acupoint stimulation on postoperative sore throat in patients with airway stenosis under rigid bronchoscopy

作　　者：利雪阳 吴安石[1] 昝京伟[2] 刘国凯[2] 任惠龙 LI Xueyang;WU Anshi;ZAN Jingwei;LIU Guokai;REN Huilong(Department of Anesthesiology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;Department of Anesthesiology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700)

机构地区：[1]首都医科大学附属北京朝阳医院麻醉科,北京100020 [2]北京中医药大学东直门医院麻醉科,北京100700

出　　处：《徐州医科大学学报》2025年第2期84-87,共4页Journal of Xuzhou Medical University

基　　金：中央高水平中医医院临床科研业务费资助(DZMG-QNZX-24014);北京市自然科学基金(7242055)。

摘　　要：目的观察经皮穴位电刺激(TEAS)对气道狭窄患者硬质支气管镜术后咽喉痛(POST)的影响。方法选择2024年8—11月择期在硬质支气管镜下治疗气道狭窄的患者60例,男33例,女27例,年龄18~80岁,ASAⅠ—Ⅲ级。采用随机数字表法将患者分为观察组和对照组,各30例。观察组于麻醉诱导前30 min在双侧合谷穴和内关穴行TEAS,至患者出手术室前停止;对照组于相同穴位放置电极片,但不进行电刺激。记录硬质支气管镜留置时间、术中丙泊酚和瑞芬太尼用量,记录拔管后1、6、24、48 h POST发生率和评分、声音嘶哑(HOV)发生率,记录POST持续时间和不良反应发生情况。结果与对照组相比,观察组术中瑞芬太尼用量明显减少,术后1、6、24、48 h POST发生率和评分明显降低,POST持续时间明显缩短,恶心呕吐发生率明显降低(P<0.05)。2组术后HOV发生率差异无统计学意义。结论TEAS双侧合谷和内关穴可明显降低硬质支气管镜下气道狭窄患者POST的发生率和咽喉疼痛评分,缩短POST持续时间,减少术中阿片类药物用量,降低恶心呕吐发生率。Objective To observe the effect of transcutaneous electrical acupoint stimulation(TEAS)on postoperative sore throat(POST)in patients with airway stenosis undergoing rigid bronchoscopy.Methods A total of 60 patients with airway stenosis who underwent elective rigid bronchoscopy between August and November 2024 were selected,including 33 males and 27 females,aged 18-80 years,with ASA classification gradesⅠ-Ⅲ.The patients were randomly divided into two groups(n=30):an observation group and a control group.The observation group received TEAS at bilateral Hegu(LI4)and Neiguan(PC6)acupoints 30 min before anesthesia induction,which continued until the patient left the operating room.The control group had electrode pads placed on the same acupoints,with no electrical stimulation.The duration of rigid bronchoscopy,intraoperative propofol and remifentanil consumption,POST incidence and throat pain scores 1,6,24,and 48 h after extubation,incidence of hoarseness of voice(HOV),POST duration,and adverse reactions were recorded.Results Compared with the control group,the observation group showed significantly reduced remifentanil consumption during surgery,decreased POST incidences and throat pain scores at post-operative 1,6,24,and 48 h,and shortened POST duration,with a reduced incidence of nausea and vomiting.There was no statistical difference in the incidence of HOV between the two groups.Conclusions TEAS at bilateral Hegu and Neiguan acupoints significantly reduces POST incidence and throat pain scores,shortens POST duration,decreases intraoperative opioid consumption,and reduces the incidence of nausea and vomiting in patients with airway stenosis undergoing rigid bronchoscopy.

关 键 词：经皮穴位电刺激 硬质支气管镜 气道狭窄 术后咽喉痛 阿片类药物 

分 类 号：R614.2[医药卫生—麻醉学]