摘要
目的:探讨头针超前镇痛的效果。方法:选择需做肠癌根治术的患者60例,随机分为两组,头针加硬膜外组(头针组)30例和硬膜外组30例。头针组患者在手术开始前20min即行头针刺激,持续刺激至手术结束,手术结束时给予硬膜外镇痛。硬膜外组只在手术结束时给予硬膜外镇痛。通过观察肠癌患者手术后视觉模拟评分(VAS)、布氏舒适评分(BCS)、胃肠功能恢复情况,探讨头针对肠癌患者术后硬膜外吗啡镇痛的影响。结果:头针组VAS评分在6h、12h、24h、48h4个时间点均较硬膜外组低,6h、12h两组间VAS评分比较差异具有显著性意义(P<0·05)。两组BCS评分在4个时间点比较,头针组均较硬膜外组低,差异均具有显著性意义(均P<0·05)。两组患者术后肠鸣音恢复时间以头针组快,组间差异有非常显著性意义(P<0·01);两组患者术后肛门排气恢复时间也以头针组快,差异有非常显著性意义(P<0·01)。结论:头针具有一定的超前镇痛作用,可减轻患者术后不适,促进患者胃肠功能恢复。
Objective To probe the effect of previous analgesia of scalp acupuncture. Methods Sixty cases of radical operation of intestinal cancer were randomly divided into 2 groups： a scalp acupuncture plus epidural analgesia （scalp acupuncture group） and an epidural analgesia group, 30 cases in each group. The scalp acupuncture group received scalp acupuncture from 20 min before operation to the end of the operation, and epidural analgesia at the end of the operation. The epidural analgesia group only received epidural analgesia at the end of the operation. Recovery of VAS scores, BCS scores and gastrointestinal function after operation were investigated to probe into effects of scalp acupuncture on epidural morphine analgesia after operation in the patient of intestinal cancer. Results The VAS scores at 6 h, 12 h, 24 h and 48 h in the scalp acupuncture group were lower than the epidural analgesia group, with significant differences at 6 h and 12 h between the two groups （P〈0.05）. 13CS scores at the 4 time points in the scalp acupuncture group were lower than the epidural analgesia group with significant differences between the two groups （all P〈0. 05）. The scalp acupuncture group in recovery of bowel sound, exsufflation from the anus in the scalp acupuncture group was faster than the epidural analgesia group （P〈0. 01）. Conclusion Scalp acupuncture has a certain previous analgesic effect, reducing discomfort of the patient after operation and promoting the recovery of gastrointestinal functions.
出处
《中国针灸》
CAS
CSCD
北大核心
2007年第5期369-371,共3页
Chinese Acupuncture & Moxibustion
关键词
头针
针刺镇痛
镇痛
硬膜外
疼痛
手术后/针灸疗法
肠肿瘤/外科学
Scalp Acupuncture
Acupuncture Analgesia
Analgesia, Epidural
Pain, Postoperative/am ther
Intestinal Neoplasms/surg
