| 张芳芳.经皮穴位电刺激复合腰硬联合麻醉用于骨科下肢手术镇静镇痛的临床观察[J].浙江中西医结合杂志,2014,24(11): |
| 经皮穴位电刺激复合腰硬联合麻醉用于骨科下肢手术镇静镇痛的临床观察 |
| Clinical Observation on the effect of Transcutaneous Electrical Acupoint Stimulation Combined with Spinal-epidural Anesthesia in patients Undering Orthopedics Lower Limbs Operation.Zhang Fangfang Wang Kai The First Affiliated Hospital to Zhejiang Chinese Medical University, Hangzhou(310053) |
| 投稿时间：2014-06-25 修订日期：2014-07-09 |
| DOI： |
| 中文关键词: 经皮穴位电刺激 镇静 镇痛 |
| 英文关键词:transcutaneous electrical acupoint stimulation sedation analgesia |
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| 中文摘要: |
| 目的 将经皮穴位电刺激(Transcutaneous Electrical Acupoint Stimulation,TEAS)复合腰硬联合麻醉应用于骨科下肢手术,观察经皮穴位电刺激的镇静镇痛效能。方法 骨科择期行下肢手术患者60例,ASAI-II级,年龄18-62岁,行腰硬联合麻醉,随机分为3组,对照组I组(20例)：单纯腰硬联合麻醉；咪达唑仑组II组(20例)：给予咪达唑仑0.04mg/kg；TEAS组III组：取双侧“内关”和“合谷”术中持续刺激,刺激强度为4-8mA,频率为2/100Hz。监测3组患者术中血压(BP)、心率(HR)、脉搏血氧饱和度(SpO2)、脑电双频指数(BIS)值和术后视觉模拟评分(VAS)。结果 手术30min时,咪达唑仑组与TEAS组BIS值较术前均有明显下降(p＜0.05),手术开始时咪达唑仑组下降最低(p＜0.05),手术结束时TEAS组BIS值较对照组和咪达唑仑组低(p＜0.05)。VAS评分TEAS组在术后8h和24h均较对照组和咪达唑仑组低,在8h时有明显统计学意义(p＜0.05)。结论 TEAS具有一定的镇静作用,且对术后早期疼痛有缓解作用。 |
| 英文摘要: |
| [Objective] To observe the sedative and antalgesic effect of transcutaneous electrical acupoint stimulation(TEAS) combined with spinal-epidural anesthesia in patients undering orthopedics lower limbs operation. [Methods] Sixty patients of ASA grade I-II, 18-62 years old being scheduled to receive orthopedics lower limbs operation with spinal-epidural anesthesia were randomly assigned to 3 groups equally. Group I received only spinal-epidural anesthesia, group II received spinal-epidural anesthesia and infusion of midazolam in dosage of 0.04mg/kg, group III received spinal-epidural anesthesia and continuous TEAS in 2/100Hz on bilateral Hegu and Neiguan. BIS, blood pressure(BP), heart rate(HR), and saturation of pulse oximetry(SpO2) were monitored during peri-operative stage, and the post-operation visual analogue scores(VAS) was measured as well. [Result] At 30min after operation, BIS decreased in group II and group III (p＜0.05), and at the begin of operation, the lowest value was shown in group II(p＜0.05). At the end of operation, the lowest value was shown in group III(p＜0.05). Besides VAS in group III at 8h after operation was lower than that in the other two groups respectively(p＜0.05). [Conclusion] TEAS has a certain sedative effect combined with spinal-epidural anesthesia in patients undering orthopedics lower limbs operation and can effectively release early postoperative pain. |
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