针刺内麻点镇痛在腹部手术的应用

Application of Acupuncture Analgesia at Neimadian in Abdominal Surgery

目的观察电针刺激内麻点用于腹部手术后的镇痛效果。方法选取90例行腹部手术的患者,随机分为3组,每组各30例。Ⅰ组为对照组,未采用任何镇痛方法,Ⅱ组行舒芬太尼患者静脉自控镇痛,Ⅲ组行针刺内麻点。观察各组的镇痛效果、镇静效果和记录不良反应的发生率。结果 3组术后各时点VAS评分比较:Ⅱ组和Ⅲ组评分平均低于Ⅰ组(P<0.05),Ⅲ组评分平均低于Ⅱ组(P<0.05);3组治疗后镇静评分比较:Ⅱ组和Ⅲ组评分平均高于Ⅰ组(P<0.05),Ⅲ组评分平均高于Ⅱ组(P<0.05);主要不良反应比较:Ⅲ组平均低于Ⅱ组和Ⅰ组(P<0.05)。结论电针刺激内麻点用于腹部手术后镇痛效果确切,且不良反应发生率低,更加安全有效。

Objective To observe effects of electroacupuncture at Neimadian for analgesia in the extremities after abdominal surgery. Methods 90 patients with routine abdominal surgery were randomly divided into 3 groups,30 patients in each group.Group Ⅰ was the control group not using any analgesia method,Group Ⅱ were controlled with sufentanil patient-controlled intravenous analgesia,Group Ⅲ were treated with electroacupuncture at Neimadian,observing the analgesic effect in each group,the sedative effect and recording the incidence of adverse reactions. Results After three VAS scores at each time point,group Ⅱ and group Ⅲ score were lower than in group Ⅰ（P0.05）,group Ⅲ scores were lower than that in group Ⅱ（P0.05）;three sedation scores after treatment compared with group Ⅱ and group Ⅲ score was higher than in group Ⅰ（P0.05）,group Ⅲ scores were higher than those in group Ⅱ（P0.05）;major adverse reactions,Ⅲgroup was lower than that in groups Ⅱ andⅠ（P0.05）. Conclusion The electroacpuncture at Neimadian after abdominal surgery has the exact effect,and the low incidence of adverse reactions,and is more safe and effective.