电针对妇科腹腔镜手术患者功能恢复的影响

Effects of electroacupuncture on postoperative functional recovery in patients with gynaecological laparoscopic surgery

目的:评价电针对CO2气腹的全麻妇科腹腔镜手术患者术后胃功能和全身机能恢复的有效性和安全性。方法:将收治妇科行腹腔镜手术患者60例随机分为常规麻醉组和复合电针麻醉组,每组30例。常规麻醉组施以常规全身麻醉,复合电针麻醉组在常规全身麻醉基础上,于术前30min予电针刺激双侧足三里和梁丘,连续波,频率2Hz,电针一直持续到手术结束。于术后对两组患者的Ramsay镇静评分、恶心评分、呕吐评分及精神状态评分进行评定、比较。结果:术后复合电针麻醉组的镇静评分(1.19±0.56vs 1.96±0.90)、恶心评分(0.59±0.80vs 1.81±0.88)、呕吐评分(0.48±0.94vs 1.89±0.93)、精神状态评分(0.96±0.73vs1.69±0.75)均低于常规麻醉组(均P<0.01)。结论:复合电针麻醉能够减轻患者术后烦躁及恶心、呕吐,改善术后精神状态,可促进胃功能和全身机能恢复,是调整腹腔镜期间CO2气腹不良反应的良好方法。

Objective To evaluate electroacupuncture on the efficacy and the safety of gastric and systemic functional recovery in patients with carbon dioxide pneumoperitoneum undergoing gynaecological laparoscopic sur- gery. Methods Sixty patients undergoing gynaecologieal laparoscopic surgery were randomly divided into a regular anesthesia group （group A） and a combination etectroacupuncture anesthesia group （group B）, 30 cases in each group. The group A were treated with regular general anesthesia, and on the basis of general anesthesia, the group B were treated with electroaeupuncture at bilateral Zusanli （ST 36） and Liangqiu （ST 34） lay continuous wave and a frequency of 2 Hz 30 minutes before the surgery until the end of the operation. Sedation scale by Ram- say, nausea, vomiting and mental state scores of postoperative were evaluated and compared between the two groups. Results Compared with the group A, the sedation scale （1. 19±0. 56 vs 1.96±0. 90）, nausea score （0. 59±0.80 vs 1.81±0.88）, vomiting score （0.48±0.94 vs 1.89±0.93） and mental state score （0.96±0.73 vs 1. 69±0.75） were all decreased significantly in the group B （all P〈0.01）. Conclusion Combination electroa- cupuncture anesthesia can relieve postoperative irritable, nausea and vomiting, improve mental state after the ope- ration and promote the gastric and systemic functional recovery. It is a good method for the adjustment of carbon dioxide pneumoperitoneum during laparoscopic surgery.