电针在妇科门诊手术中的镇痛效果观察

Observation on analgesia effect of electroacupuncture during gynecologic outpatient operation

目的:验证电针麻醉在妇科门诊手术中运用的可行性。方法:将200例患者分为电针镇痛组、静脉麻醉组各100例,手术类型包括人工流产术、诊刮术、取环术。电针镇痛组电针双侧合谷、内关穴,患者在清醒状态下行常规妇科门诊手术;静脉麻醉组静脉注射芬太尼及丙泊酚后行常规妇科门诊手术。结果:电针镇痛组镇痛优良率88.0%(88/100)、镇痛有效率100.0%(100/100),静脉麻醉组分别为94.0%(94/100)、100.0%(100/100),组间差异无统计学意义(均P>0.05);电针镇痛组无不良反应发生,静脉麻醉组有11例发生不良反应。结论:电针镇痛用于妇科门诊手术镇痛效果确切,无不良反应,且操作简单、安全。

To verify the feasibility of electroacupuncture analgesia applied to gynecologic outpatient operation. Methods Two hundred patients were randomly divided into an electroacupuncture analgesia group and an intravenous anesthesia group, 100 cases in each group. Operation types included artificial abortion, diagnostic curettage and remove of intrauterine divice. The eleetroacupuneture analgesia group was treated with electroacu puncture at bilateral Hegu （LI 4） and Neiguan （PC 6）, and the routine gynecologic outpatient operation was per formed under patients＇ waking state. The intravenous anesthesia group was treated with routine gynecologic outpatient operation after intravenous injection of fentanyl and propofol. Results The excellent rate and the effective rate of analgesia were 88.0% （88/100） and 100.0% （100/100） in the electroacupuneture analgesia group, and 94.0% （94/100） and 100.0% （100/100） in the intravenous anesthesia group, with no statistically significant differences between the two groups （all P〉0.05）. There was no adverse reaction in the electroacupuncture anesthesia group, but 11 cases of adverse reactions in the intravenous anesthesia group. Conclusion Electroacupuncture analgesia can effeetively alleviate the pain during gynecologic outpatient operation and it is simple and safe without adverse reactions.