经皮穴位电刺激缓解围手术期焦虑的临床应用

Clinical application of transcutaneous electrical acupoint stimulation for relieving perioperative anxiety

围手术期焦虑是一种紧张不安的情绪,发生较普遍,可能导致麻醉药物用量增加,术后疼痛及恶心呕吐等围手术期并发症发生率增加。经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)是经皮神经电刺激与中医针灸理论结合而成的一种无创、安全的穴位治疗方法,研究证实其对缓解焦虑、术后恶心呕吐及术后疼痛方面有积极影响,但相关参数并无统一定论。文章描述了围手术期焦虑的危害性及其自评量表,TEAS缓解焦虑的临床应用、相关参数选择及相关机制。TEAS对缓解患者围手术期焦虑有积极影响,其治疗参数有待进一步深入研究,以最大程度发挥治疗效果。

Perioperative anxiety is a of feeling of fear,uneasiness after operation with a high incidence.It may lead to increased dosage of anesthetics,postoperative pain,nausea,vomiting,and other complications.Transcutaneous electrical acupoint stimulation(TEAS)is a non-invasive and safe acupoint treatment method based on the combination of transcutaneous electrical nerve stimulation and traditional Chinese medicine acupuncture theory.Studies have confirmed that TEAS has a positive effect on relieving anxiety,postoperative nausea and vomiting,and postoperative pain,but the relevant parameters have not been uniformly determined.This article describes the hazards of perioperative anxiety and its self-assessment scale,the clinical application of TEAS to relieve anxiety,the selection of relevant parameters,and the related mechanisms.TEAS has a positive impact on relieving patients'perioperative anxiety,but its therapeutic parameters need a further study to maximize its therapeutic effects.