经皮穴位电刺激联合靶控输注技术在乳腺手术麻醉中的应用效果观察

Observation of the Auxiliary Effects of Percutaneous Acupoint Electrical Stimulation Combined with Target Controlled Infusion Technique for Anesthesia in Breast Surgery

目的:观察经皮穴位电刺激联合靶控输注技术在乳腺手术麻醉中的辅助效果。方法:选取本院择期行乳腺肿物切除术的患者64例,随机分为对照组和观察组,每组32例。对照组运用TCI-V型组合式靶控注射泵输入丙泊酚,经静脉推注芬太尼,行静脉全麻;观察组在对照组的基础上给予经皮穴位电刺激联合靶控输注技术辅助麻醉。结果:T2时,观察组HR、MAP以及BIS显著低于对照组(P<0.05);T5时,观察组HR显著低于对照组(P<0.05);T7时,观察组BIS显著高于对照组(P<0.05);T4时,观察组Ramsay镇静评分显著高于对照组(P<0.05);观察组术中丙泊酚与芬太尼使用总量均低于对照组(P<0.05)。结论:乳腺手术麻醉中,经皮穴位电刺激联合靶控输注技术可起到较为显著的镇静效果,且有助于减少丙泊酚、芬太尼使用剂量。

Objective： To observe the auxiliary effects of percutaneous acupoint electrical stimulation combined with target controlled infusion technique for anesthesia in breast surgery. Methods： 64 cases in this hospital with excision of breast tumor were selected and randomized into control group and observation group,with 32 cases in each group. Control group were applied TCI-V pattern combined type of target controlled injection pump to infuse Propofol,given intravenous injection of Fentanyl and performed intravenous anesthesia. Observation group were added with percutaneous acupoint electrical stimulation combined with target controlled infusion technique for auxiliary anesthesia. Results： At T2,the HR,MAP and BIS in observation group were significantly lower than these in control group（ P 〈0. 05）; at T5,the HR in observation group was greatly lower than that in control group（ P 〈0. 05）; at T7,the BIS in observation group was obviously higher than that in control group（ P 〈0. 05）; at T4,the Ramsay calm score in observation group was marked higher than that in control group（ P 〈0. 05）; the total dosage of Propofol and Fentanyl in observation group was apparently lower than that in control group（ P 〈0. 05）. Conclusion： In the anesthesia for breast surgery,the technique of percutaneous acupoint electrical stimulation combined with target controlled infusion has remarkable tranquilizing effects and it can reduce the dosage of Propofol and Fentanyl.