经皮穴位电刺激对人工髋关节置换术老年患者的体温及循环系统影响

Effect of percutaneous electrical acupoint stimulation on body temperature and circulatory system of elderly patients undergoing artificial hip replacement

目的探讨经皮穴位电刺激(Transcutaneous electrical acupoint stimulation,TEAS)对人工髋关节置换术老年患者体温及循环系统影响。方法2018年5月~2019年8月选取在泰安市中医医院行单侧人工全髋关节置换术的老年患者60例,将入选病例采用数字表抽取法分组,对照组30例应用常规麻醉方式,观察组30例在常规麻醉基础上,取经皮穴位电刺激法加用,观察两组TEAS开始前(T0)、TEAS 30 min时(T1)、蛛网膜下腔麻醉完成后(T2)、手术切皮前(T3)、手术开始后1 h(T4)、手术结束时(T5)鼻咽温度、心率、平均动脉压水平。结果观察组鼻咽温度在T4、T5时点高于对照组(P<0.05)。两组平均动脉压、心率波动无差异(P>0.05)。结论老年人工髋关节置换手术患者应用经皮穴位电刺激技术,可促体温稳定,减轻循环波动。

Objective To investigate the effect of transcutaneous electrical acupoint stimulation(TEAS)on the body temperature and circulatory system of elderly patients undergoing artificial hip replacement.Methods From May 2018 to August 2019,60 elderly patients undergoing unilateral total hip arthroplasty were selected.The selected cases were grouped by digital table extraction.30 cases in the control group received conventional anesthesia,and 30 cases in the observation group On the basis of conventional anesthesia,percutaneous electrical acupoint stimulation was used to observe the two groups before the start of TEAS(T0),at 30 minutes of TEAS(T1),after the completion of subarachnoid anesthesia(T2),before surgical skin incision(T3),One hour after the start of the operation(T4)and at the end of the operation(T5)nasopharyngeal temperature,heart rate,mean arterial pressure level.Results The nasopharyngeal temperature of the observation group was higher than that of the control group at T4 and T5(P<0.05).There was no difference in mean arterial pressure and heart rate fluctuation between the two groups(P>0.05).Conclusion The application of percutaneous electrical acupoint stimulation to elderly patients undergoing hip replacement surgery can promote body temperature stability and reduce circulatory fluctuations.