摘要
目的:探讨经皮穴位电刺激在颈部甲状腺肿瘤手术中减弱应激反应及增强麻醉作用的效果。方法:将60例甲状腺肿瘤手术患者随机分为观察组和对照组各30例,两组病人均采用改良一点法颈丛神经阻滞,观察组加用韩氏穴位神经刺激仪(HANS),选用双侧合谷和曲池穴,术中连续使用HANS至手术结束。结果:观察组血压、心率差、牵拉反应比对照组明显降低,氧饱和度、呼吸频率变化不明显。结论:HANS可以减轻甲状腺肿瘤患者手术时产生的心血管应激反应,同时有强化麻醉的作用。
Objective To study the effect of transcutaneous electric nerve stimulation for decreasing stress response and strengthening the anesthetic effect in the operation of thyroid tumors. Methods Sixty patients with thyroid tumors were randomly divided into an observation group and a control group, 30 cases in each group. All of them were given modified one-point cervical plexus nerve obstruction. The stimulation at bilateral Hegu (LI 4) and Quchi (LI 11) with HANS was added to the observation group from the beginning to end of operation. Results The blood pressure, heart rate and jerking reflection were decreased significantly as compared with the control group. The oxygen saturation and respiratory frequency did not change. Conclusion Cardiovascular stress response can be decreased with HANS in the operation of thyroid tumors and anesthetic effect can be strengthened.
出处
《中国针灸》
CAS
CSCD
北大核心
2005年第2期129-130,共2页
Chinese Acupuncture & Moxibustion
