经皮穴位电刺激对腹腔镜单侧肾切除术术后康复的影响

Effects of transcutaneous electrical acupoint stimulation on postoperative recovery after laparoscopic nephrectomy

目的探讨经皮穴位电刺激对腹腔镜单侧肾切除术术后康复的影响。方法腹腔镜单侧肾切除术女性病人60例,随机分为刺激组和对照组,每组各30例。刺激组在手术前1天、手术当天、术后第1天及术后第2天每天给予双侧内关穴、合谷穴、足三里穴及三阴交穴经皮电刺激1次,每次30分钟;对照组的各项操作与刺激组相同,连接刺激仪,不开开关。记录两组病人术后肛门首次排气时间、进水时间、下床活动时间、尿管留置时间、术后2天内恶心呕吐情况、静脉自控镇痛泵的使用情况及住院总时间。结果刺激组术后肛门首次排气时间为(15.0±4.1)小时,下床活动时间为(30.7±9.0)小时,尿管留置时间为(30.7±6.9)小时,与对照组比较均缩短,差异有有统计学意义(P<0.05);但两组进水时间比较,差异无统计学意义(P>0.05);刺激组恶心、呕吐发生率分别为20.0%和13.3%,对照组分别为33.3%和30.3%;镇痛泵按压(12.4±5.8)次,药物总量(69.0±43.6)ml,(P<0.05);两组住院时间比较,差异无统计学意义(P>0.05)。结论经皮穴位电刺激可加速腹腔镜单侧肾切除术病人术后康复。

Objective To evaluate effects of transcutaneous electrical acupoint stimulation on postoperative recovery after laparoscopic nephrectomy.Methods 60 cases of female patients undergoing laparoscopic nephrectomy were selected and randomized into stimulation group and control group.The stimulation group received transcutaneous electrical acupoint stimulation 30 min at neiguan point,hegu point,zusanli point and sanyinjiao point once a day.The routines of the control group were the same as that of the stimulation group except for switch off.Time of first exhaust,time of water intake,time of getting out of bed,time of urinary catheter indwelling,nausea and vomiting within 2 days after surgery,use of patient-controlled intravenous analgesia pump and total hospitalization were recorded.Results Compared with the control group,Patients in the stimulation group had less time of first exhaust(15.0±4.1)h,getting out of bed(30.7±9.0)h and urinary catheter indwelling(30.7±6.9)h(P<0.05),The difference of water intake time was not statistically significant.The incidence of nausea and vomiting was 20% and 13.3% in the stimulation group,and 33.3% and 30.3% in the control group.The number of analgesic pump compression(12.4±5.8)was reduced,and the total amount of drugs(69±43.6)ml was decreased in the stimulation group(P<0.05).There was no statistically significant difference in hospital stay between the two groups.Conclusion Transcutaneous electrical acupoint stimulation can accelerate postoperative rehabilitation of patients undergoing laparoscopic nephrectomy.