电针复合麻醉用于下鼻甲肥大射频消融术:随机对照研究

Randomized controlled study on electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate

目的:探讨电针复合麻醉用于下鼻甲肥大射频消融手术的可行性。方法:随机将符合纳入标准的患者分为两组。观察组31例,采用电针左侧四白、下关、合谷和支沟,右侧常规局部麻醉。对照组30例,两侧均采用常规局部麻醉。观察比较疼痛情况、循环指标和手术效果。结果:射频消融时,观察组左侧2次及右侧第2次疼痛分级均低于对照组(均P<0.05)。观察组左侧疼痛分级低于右侧(P<0.05)。观察组右侧第2次消融时收缩压以及左侧第2次消融时心率低于对照组(均P<0.05)。手术效果两组无明显差异。结论:电针复合麻醉可以满足下鼻甲射频消融术镇痛需求,同时对于手术麻醉中的循环波动有一定预防作用。

Objective To explore the feasibility of eleetroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate. Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group （n=31） and a control group （n=30）. The observation group was treated with electroacupuncture at Sibai （ST 2）, Xiaguan （ST 7）, Hegu （LI 4） and Zhigou （TE 6） on the left side and routine local anesthesia on the right side. The control group was treated with routine local anesthesia on the both side. The feel- ings of pain, circulatory index and operation effect were observed and compared. Results During radiofrequency ablation, the pain grade of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group （all P〈0.05）. In the observation group, the pain grades on the left side were lower than that on the right side （P〈0.05）, and the systolic blood pressure and the heart rate were lower than that in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side, respectively （both P〈0.05）. There was no significant difference in operation effect between the two groups. Conclusion Electroacupuneture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for treatment of hypertrophic inferior turbinate, and would be helpful to prevent cyclic fluctuation during the operation at the same time.