经皮穴位电刺激辅助麻醉对乳腺癌患者术后疼痛和应激反应的影响

Influences of percutaneous acupoint electrical stimulation assisted anesthesia on postoperative pain and stress response of patients with breast cancer

目的探讨经皮穴位电刺激辅助麻醉对乳腺癌患者术后疼痛和应激反应的影响。方法将140例行乳腺癌手术的患者根据麻醉方案不同分为对照组(全身麻醉)和干预组(在对照组基础上予以经皮穴位电刺激辅助麻醉),各70例。比较两组的麻醉效果。结果干预组术后即刻及术后12 h的E、NE和Cor水平变化较对照组平稳(P<0.05)。术后6、12、24 h,干预组的疼痛评分低于对照组(P<0.05)。干预组术中舒芬太尼用量少于对照组,苏醒时间和拔管时间均短于对照组,术后并发症总发生率低于对照组(P<0.05)。结论经皮穴位电刺激辅助麻醉更有助于维持乳腺癌患者术后生理指标的稳定,减轻患者的应激反应和术后疼痛度,降低术后24 h的并发症发生率。

Objective To investigate the influences of percutaneous acupoint electrical stimulation assisted anesthesia on postoperative pain and stress response of patients with breast cancer.Methods A total of 140 patients who underwent breast cancer surgery were divided into control group(general anesthesia)and intervention group(percutaneous acupoint electrical stimulation assisted anesthesia on the basis of the control group)according to different anesthesia schemes,with 70 cases in each group.The anesthetic effects of the two groups were compared.Results The changes of E,NE and Cor levels in the intervention group immediately and at 12 h after operation were more stable than those in the control group(P<0.05).At 6,12 and 24 h after operation,the pain scores of the intervention group were lower than those of the control group(P<0.05).The intraoperative dosage of sufentanil in the intervention group was less than that in the control group,the recovery time and extubation time were shorter than those in the control group,and the total incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusion Percutaneous acupoint electrical stimulation assisted anesthesia is more helpful to maintain the stability of physiological indexes,decrease the stress response and postoperative pain,and reduce the incidence of complications at 24 h after operation.