摘要
目的:探究经皮穴位电刺激(TEAS)复合全麻对腹腔镜卵巢囊肿切除患者术后并发症的影响。方法:2018年6月-2019年6月选取珠海市第五人民医院的60例腹腔镜卵巢囊肿切除术患者,按照完全随机化原则分成对照组和观察组,每组各30例。对照组给予气管插管全身麻醉,观察组给予TEAS复合全麻。对比两组术后并发症发生率及胃肠道功能恢复时间。结果:观察组术后并发症发生率为6.67%,低于对照组的26.67%(χ2=4.3200,P<0.05);对照组肠鸣音恢复时间(31.05±4.42)h、首次排气时间(35.03±5.47)h、排便时间(52.63±9.28)h与观察组的(22.42±3.86)h、(27.59±4.12)h、(38.16±7.62)h对比差异明显(t=8.0550,P<0.05;t=5.9507,P<0.05;t=6.6004,P<0.05)。结论:TEAS复合麻醉能降低腹腔镜卵巢囊肿切除术后并发症发生率,促进胃肠道功能尽早恢复,适合在临床中推广运用。
Objective:To explore the effect of transcutaneous electrical stimulation of acupoints(TEAS)combined with general anesthesia on the complications of laparoscopic ovarian cyst resection.Method:Sixty patients with laparoscopic ovarian cysts in our hospital were randomly divided into control group and observation group.The control group was given general anesthesia with tracheal intubatio and the observation group was given TEAS combined general anesthesia with tracheal intubatio.The incidence of complications and the recovery time of gastrointestinal function were compared between the two groups.Result:The incidence of postoperative complications in the observation group was 6.67%,lower than 26.67%in the control group(χ2=4.3200,P<0.05);the recovery time of bowel sounds in the control group(31.05±4.42)h,the first exhaust time(35.03±5.47)h,defecation time(52.63±9.28)h and the observation group(22.42±3.86)h,(27.59±4.12)h,respectively.(There was a significant difference between the two groups(t=8.0550,P<0.05;t=5.9507,P<0.05;t=6.60045,P<0.05).Conclusion:TEAS combined anesthesia can reduce the incidence of complications after laparoscopic ovarian cystectomy and promote the early recovery of gastrointestinal function,which is suitable for clinical application.
作者
李金峰
唐轶洋
李宇国
刘洁
金纯纳
杨硕
Li Jinfeng;Tang Yiyang;Li Yuguo;Liu Jie;Jin Chunna;Yang Shuo(Department of Anesthesiology,Guangdong Provincial Hospital of Chinese Medicine,The Second Affliated of Guangzhou University of Chinese Medicine,Guangzhou 510120;Department of Anesthesiology,The Fifth People's Hospital of Zhuhai,Zhuhai 519055,China;Centre of Cadre Health Management of Guangzhou,Department of Health Management of Chinese Medicine,Guangzhou 510530,China)
出处
《广州医科大学学报》
2020年第4期38-41,共4页
Academic Journal of Guangzhou Medical University
关键词
腹腔镜卵巢囊肿切除术
经皮穴位电刺激
术后并发症
Laparoscopic ovarian cyst resection
Percutaneous acupoint electrical stimulation
Postoperative complications