针刺对妇科腹腔镜术后患者早期恢复质量的影响：QoR-40量表

Effect of acupuncture on quality of recovery during early period after gynecological laparoscopic surgery： Quality of Recovery-40 questionnaire

目的采用40项恢复质量评分量表（QoR-40量表）评价针刺对妇科腹腔镜术后患者早期恢复质量的影响。方法择期拟行妇科腹腔镜术患者60例，年龄20～60岁，体重指数18．5～28．0kg／m2，ASA分级Ⅰ或Ⅱ级。采用随机数字表法分为2组（n=30）：对照组（C组）常规全麻；针刺组（Acu组）常规全麻＋针刺处理。Acu组于切皮前和术毕即刻针刺双侧内关穴、合谷穴30min。分别于术前1d（T1）、术后24h（T2）和48h（T3）时采用QoR-40量表综合评价患者术后恢复质量；记录简易智能状态检查量表评分，记录补救镇痛和术后恶心呕吐的发生情况。结果与C组比较，Acu组T2,3，时QoR-40量表总评分和简易智能状态检查量表评分升高，术后恶心呕吐发生率和补救镇痛率降低（P〈0．05）。结论针刺可改善妇科腹腔镜术患者的术后早期恢复质量。

Objective To evaluate the effect of acupuncture on the quality of recovery during the early period after gynecological laparoseopic surgery using the Quality of Recovery-40 questionnaire （ QoR- 40）. Methods Sixty patients, aged 20-60 yr, with body mass index of 18.5-28.0 kg/m2 , of American Society of Anesthesiologists physical status Ⅰ or Ⅱ , scheduled for elective gynecological laparoscopie surgery, were equally and randomly divided into either control group （ group C） or acupuncture group （group Acu） using a random number table. Bilateral Neiguan （PC6） and Hegu （L14） acupoints were stimulated for 30 min starting from the time point before skin incision and immediately after the end of surgery. The quality of recovery was assessed using the QoR-40 on l day before surgery, and at 24 and 48 h after surgery. The patient＇s cognitive function was assessed using Mini-Mental State Examination. The requirement for rescue analgesics was recorded. The occurrence of nausea and vomiting was also recorded. Results Compared with group C, the global QoR-40 and Mini-Mental State Examination scores were significantly increased, and the incidence of nausea and vomiting and requirement for rescue analgesics were decreased at 24 and 48 h after surgery in group Acu （P〈 0.05）. Conclusion Acupuncture can improve the quality of recovery during the early period after gynecological laparoscopic surgery using the QoR-40.