耳穴贴压复合表面麻醉用于鼻内镜手术的效果观察

Effect of paste and oppression of auricular points combined with superficial anesthesia for nasal endoscopy surgery:a single-blind randomized controlled trail

目的评价耳穴贴压复合表面麻醉用于鼻内镜手术的麻醉效果。方法 选择80例表面麻醉下择期鼻内镜手术患者,随机数字法分为两组:耳穴贴压复合表面麻醉组(A组,n=40)和单纯表面麻醉组(B组,n=40)。A组患者取耳神门(TF4)、交感(AH6a)和外鼻(TG1.2i)3处穴位粘贴王不留行籽,于术前30分钟进行按压治疗,B组仅穴位处粘贴胶布作为对照且不行按压治疗。患者均采用1%的丁卡因进行表面麻醉,术中根据患者情况给予小剂量的艾司洛尔、硝酸异山梨酯或芬太尼。术中观察麻醉优良率;艾司洛尔、硝酸异山梨酯与芬太尼使用率及不良反应。结果与B组比较,A组麻醉优良率明显升高(P<0.01),艾司洛尔、硝酸异山梨酯与芬太尼使用率降低(P均<0.01),两组均未出现不良反应。结论耳穴贴压复合表面麻醉用于鼻内镜手术具有良好的麻醉效果。

Objective To investigate the effect of paste and oppression of auricular points combined with superficial anesthesia for nasal endoscopy surgery. Method Eighty patients with superficial anesthesia fornasal endoscopy sur-gery were randomly assigned to 2 grouppaste and oppression of auricular points combined with superficial anesthe-sia group（ group A） , superficial anesthesia group （ group B） ,40 cases in each group. Patients of group A received paste and oppression of auricular Shenmen（TF4）, Jiaogan（AH6a） and Waibi（TG1. 2i） points with the seeds of Wang Bu Liu Xing before the operation for 30 minutes. Patients of group B were only pasted tape. Observation：the rate of good anesthesia;the utilization rates of esmolol, isosorbide esters and fentanyl;the other adverse effects. Result Compared with group B, the rate of good anesthesia was increased,the utilization rates of esmolol,isosorbide esters and fentanyl were decreased in group A（P〈0. 01）. No other side effects were observed. Conclusion Paste and oppressionof auricular points combined with superficial anesthesia was better for nasal endoscopy surgery.