摘要
目的:评价经皮电刺激膀胱俞、三阴交对防治应用吗啡行术后硬膜外镇痛致尿潴留的疗效和对膀胱功能的改善情况。方法:40只健康日本大耳白兔随机分为2组,每组20只,实验组在固定时间段连续4天每天行经皮穴位电刺激30分钟,第5天在硬膜外麻醉后行腹部手术,术中持续电刺激至手术结束,术后用吗啡行硬膜外镇痛;对照组不给予电刺激,仅在术后行硬膜外镇痛(同实验组);比较两组家兔的膀胱内压力、排尿阈值和残余尿量的变化。结果:实验组家兔膀胱内压力较对照组增高(P<0.05),而排尿阈值和残余尿量均明显低于对照组(P<0.05)。结论:经皮穴位电刺激膀胱俞、三阴交能有效减少应用吗啡行术后硬膜外镇痛时对膀胱功能产生的抑制效应,起到保护和改善膀胱功能的作用,达到预防和降低尿潴留的目的。
Objective: To appraise the preventive effect of transcutaneous electrical stimulation pangguangshu and sanyinjiao acupoints on urine retention caused by using morphine epidural analgesia after operation and improvement on bladder function. Methods: 40 Rabbits were randomly divided into two groups,each group contained 20 rabbits,experimental group was given transcu- taneous electrical stimulation pangguangshu and sanyinjiao acupoints in the same time of every day for 4 days,30minutes once time, operation on abdomen were taken on the fifth day in the condition of epidural anaesthesia,transcutaneous electrical stimulation pang- guangshu and sanyinjiao acupoints was done during the operation,than applied morphine epidural analgesia,control group wasn't giv- en ranscutaneous electrical stimulation,only applied morphine epidural analgesia after operation,the changes of intravesical pressure, micturition threshold and residual urine volume were observed in the two groups and compared. Results: The rabbits' intravesical pressure in the experimental group was obviously higher than that in the control group,the micturi- tion threshold and residual urine volume of rabbits in the experimental group were significantly lower than those in the control group rabbits. Conclusion: Transcutaneous electrical stimulation pangguangshu and sanyinjiao acupoints could effectively reduce the inhibition func- tion on bladder function by using morphine epidural analgesia after operation,protect and improve bladder function to prevent urine re- tention.
出处
《中国中医药科技》
CAS
2013年第6期580-581,575,共2页
Chinese Journal of Traditional Medical Science and Technology
基金
浙江省中医药管理局课题No.2008CB050
