艾灸足三里穴对肩关节镜手术体温保护的应用研究  

Application of Moxibustion at the Zusanli Acupoint for Temperature Regulation during Shoulder Arthroscopic Surgery

作　　者：张桦 王城 李亚峰[1] 胡凯[1] ZHANG Hua(Department of Anesthesiology,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330038,Jiangxi,China)

机构地区：[1]南昌市洪都中医院麻醉科,江西南昌330038

出　　处：《牡丹江医科大学学报》2025年第2期80-83,共4页Journal of Mudanjiang Medical University

基　　金：江西省中医药管理局科技计划项目(2023A0261)。

摘　　要：目的分析艾灸足三里穴对肩关节镜手术患者围术期体温的影响。方法选取2024年1月~2024年6月在南昌市洪都中医院医院接受肩关节镜手术的60例患者为研究对象,依据不同治疗方法将患者分为对照组和研究组,每组30例。研究组患者在术前1 d接受艾灸足三里穴治疗,术前1 d对照组患者在足三里穴旁开约2 cm处做相同处理。比较两组患者术前、手术开始后1 h、手术结束即刻及麻醉苏醒时的核心体温变化情况、手术结束即刻的低温及寒颤发生率及术后躁动发生情况。结果(1)两组术前的核心体温比较,差异无统计学意义(P=0.925),研究组手术开始后1 h、手术结束即刻及麻醉苏醒时的核心体温分别为(36.81±0.20)℃、(36.61±0.44)℃、(36.72±0.21)℃均高于对照组的(35.53±0.32)℃、(35.56±0.34)℃、(35.77±0.32)℃,差异有统计学意义(t=4.686、6.455、6.023,P均<0.001)。研究组手术结束即刻的低温及寒颤发生率低于对照组,差异有统计学意义(P均<0.001)。研究组的术后躁动情况优于对照组,差异有统计学意义(P<0.001)。结论术前艾灸足三里穴应用于肩关节镜手术中能有效起到体温保护作用,能减少患者的低温与寒颤发生率,缩短麻醉苏醒时间,并减少患者麻醉苏醒期间躁动的发生率。Objective To investigate the effect of moxibustion at the Zusanli acupoint on postoperative body temperature in patients undergoing shoulder arthroscopic surgery.Methods This study included 60 patients who underwent shoulder arthroscopic surgery at Hongdu Traditional Chinese Medicine Hospital in Nanchang between January and June 2024.The patients were divided into two groups of 30 each based on the treatment method:the study group and the control group.The study group received moxibustion treatment at the Zusanli acupoint one day before surgery,while the control group received moxibustion at a location approximately 2 cm adjacent to the Zusanli acupoint at the same time.The study aimed to examine the differences between the two groups in terms of preoperative,intraoperative,and immediate postoperative parameters,including the occurrence of hypothermia and shivering,anesthetic recovery duration,and postoperative agitation.Results Statistical analysis revealed no significant difference in preoperative core body temperatures between the two groups(P=0.925).The study group’s core body temperatures were(36.81±0.20)℃,(36.51±0.44)℃,and(36.72±0.21)℃at one hour post-surgery,immediately post-surgery,and upon awakening,respectively.These values were significantly higher than the control group’s core body temperatures of(35.53±0.32)℃,(35.56±0.34)℃,and(35.77±0.32)℃,with statistically significant differences observed(t=4.686,6.455,6.023,P<0.001).The study group also experienced a lower incidence of hypothermia and shivering immediately post-surgery compared to the control group,with statistically significant differences(P<0.001 for both).Additionally,postoperative agitation was significantly less severe in the study group than in the control group(P<0.001).Conclusion Preoperative moxibustion at the Zusanli acupoint during shoulder arthroscopy effectively preserves body temperature,reduces the risk of hypothermia and shivering,accelerates anesthetic recovery,and alleviates postoperative agitation.

关 键 词：艾灸 足三里穴 肩关节镜 体温保护 

分 类 号：R454.5[医药卫生—治疗学]