摘要
目的观察术前超声引导针刺麻醉对妇科腹腔镜手术后早期恢复的影响。方法将择期行全麻妇科腹腔镜手术的100例患者随机均分为针刺组和对照组。针刺组术前在超声引导下行电针双侧内关穴,对照组仅同时间在相同部位置针并固定(无行针和电针)。观察两组患者出麻醉恢复室前(T0)、术后48 h(T1)及术后72 h(T2)恶心呕吐的发生情况及严重程度,比较两组术后首次排气时间、首次排便时间、术中丙泊酚总使用量以及术后清醒时间。结果两组患者T0、T1、T2时恶心呕吐的发生率和严重程度比较,差异无统计学意义(P>0.05)。针刺组术中丙泊酚总使用量低于对照组(P<0.05),针刺组术后清醒时间、术后首次排气时间和术后首次排便时间均早于对照组(P<0.05)。结论术前超声引导针刺麻醉可减少妇科腹腔镜手术中麻醉药物总使用量,缩短患者术后清醒时间,促进术后早期恢复。
Objective To observe the effect of preoperative ultrasound-guided acupuncture anesthesia on early recovery after gynecologic laparoscopic surgery.Method A total of 100 patients undergoing elective gynecologic laparoscopic surgery under general anesthesia were randomly divided into an acupuncture group and a control group.In the acupuncture group,electroacupuncture was applied to bilateral Neiguan(PC6)points under ultrasound guidance before surgery,while in the control group,only the same points were injected and fixed at the same time(no needle manipulation and electroacupuncture).The occurrence and severity of nausea and vomiting were observed in the two groups before the patients left the anesthesia recovery room(T0),48 h(T1)and 72 h(T2)after the operation,and the time of the first postoperative flatus,the time of the first defecation,the total amount of Propofol used in operation,and the time of postoperative wakefulness were compared between the two groups.Result The incidence and severity of nausea and vomiting at T0,T1 and T2 in the two groups were not statistically significant(P>0.05).The total amount of Propofol used in operation in the acupuncture group was lower than that in the control group(P<0.05),and the postoperative wakefulness time,postoperative time of the first flatus and postoperative time of the first defecation in the acupuncture group were earlier than that in the control group(P<0.05).Conclusion Preoperative ultrasound-guided acupuncture anesthesia can reduce the total use of anesthetic drugs in gynecologic laparoscopic surgery,shorten the postoperative awake time of the patients,and promote the early postoperative recovery.
作者
邹鲁
屈媛媛
许旭东
ZOU Lu;QU Yuanyuan;XU Xudong(Changzhou Affiliated Hospital of Nanjing University of Chinese Medicine,Changzhou 213003,China)
出处
《上海针灸杂志》
2025年第2期250-253,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
常州市第十一批科技计划项目(CJ20243025)。
关键词
针药复合麻醉
电针
穴
内关
术后恢复
腹腔镜手术
超声
Combined acupuncture medication anesthesia
Electroacupuncture
Point,Neiguan(PC6)
Postoperative recovery
Laparoscopic surgery
Ultrasound
