摘要
目的 为观察电针复合全麻对腹部手术术后患者使用静脉镇痛泵的影响。方法 随机选择择期胆道手术术后使用静脉镇痛泵患者 4 0例 ,分为对照组 (单纯全麻组 )和电针组 (电针复合全麻组 ) ,记录术中麻醉药用量 ,术后 6h、2 4h、4 8h镇痛泵用量以及肛门排气、排便时间。结果 电针组与对照组相比 ,术中芬太尼、异丙酚用量 ,术后 6h镇痛泵用量均较少 ,有显著性差异 (P <0 .0 5 ) ,而术中卡肌宁用量 ,术后 2 4h、4 8h镇痛泵用量以及术后肠蠕动恢复时间无明显差异。结论 电针复合全麻能增加镇痛效果 ,但对术后肠蠕动恢复无显著影响。
Objective To observe the influence of electroacupuncture-associated general anesthesia on use of venous analgetic pump in abdominal postoperative patients.Method Forty cases using analgetic pump after date-chosen biliary passage operation were randomly divided into a control group(simple general anesthesia) and an electroacupuncture group (electroacupuncture-associated general anesthesia).Recorded were intraoperative anesthetic dosage,analgetic dosage during postoperative 6 h,24 h and 48 h and the times of postoperative anal flatus and defecation. Results Fentanyl and propofol dosages during operation and analgetic dosage during postoperative 6 h both decreased in the electroacupuncture group as compared to the control group and there was a significant difference(P<0.05).But there were no significant differences in intraoperative atracurium dosage,analgetic dosage during postoperative 24 h and 48 h and the time of postoperative recovery of intestinal peristalsis.Conclusion Electroacupuncture-associated general anesthesia can improve an analgetic effect but does not significantly influence postoperative recovery of intestinal peristalsis.
出处
《上海针灸杂志》
2005年第4期6-7,共2页
Shanghai Journal of Acupuncture and Moxibustion
关键词
电针
针药复合麻醉
静脉镇痛泵
肠梗阻
Electroacupuncture
Electroacupuncture-associated general anesthesia
Venous analgetic pump
Ileus
