摘要
目的:观察耳穴贴压辅助全麻手术对麻醉药用量及术后疼痛的影响。方法:将妇科腹腔镜手术病例120例随机分为3组,每组40例。耳穴1组:于术前一晚在双耳的神门、肺、脾、胃、大肠、肾上腺、内分泌、子宫、盆腔穴贴压磁珠;耳穴2组在双耳前后相应位置对贴磁珠;安慰组在双耳的相应穴位上粘贴外观相同的胶布,3组麻醉方式相同,评定麻醉镇痛效果。结果:术中麻醉性镇痛药舒芬太尼用量耳穴1组(22.08±7.11)μg、耳穴2组(20.19±7.21)μg,均较安慰组(26.13±9.04)μg减少(均P<0.05);麻醉剂异丙酚用量3组间差异无统计学意义(P>0.05);术后第1天疼痛视觉模拟评分(VAS)耳穴1组、耳穴2组(1.77±1.65,1.80±1.96)均比安慰组(2.62±1.46)低(均P<0.05);术前血清β内啡肽(β-EP)耳穴1组(198.8±124.1)pg/mL、耳穴2组(207.2±102.7)pg/mL明显较安慰组(143.6±87.1)pg/mL高(均P<0.05),而耳穴1组与耳穴2组比较,上述诸项差异均无统计学意义(均P>0.05)。结论:耳穴贴压可以减少麻醉剂的用量,减轻术后疼痛,具有镇静镇痛的作用,而在双耳前后相应位置对贴磁珠的效果没有明显加强。
Objective To observe the impacts on anesthetic dosage and postoperative pain under general anes- thesia assisted by auricular-plaster therapy. Methods One hundred and twenty cases of gynecological laparoscopic surgery were randomized into three groups, 40 cases in each one. In auricular point group A, the magnetic beads were stick on the auricular points which were Shenmen （TF4）, Lung （fei, CO14 ） , Spleen （pi, CO13 ）, Stomach （wei, CO4 ）, Large Intestine（dachang, COt ）, Adrenal（shenshangxian, TG2 p ） , Endocrine （neifenmi, CO18 ）, Ute- rus and Pelvic Cavity（penqiang, TFs ） etc. In auricular point group B, the magnetic beads were stick on the preauri- cular points and the corresponding retroauricular points of the ears. In a placebo group, the plasters of the same appearance were stick on the corresponding auricular points of the ears. The anesthetic method was same in three groups and the anesthesia effect were assessed and compared among the three groups. Results In surgery, the dosage of sufentanil, the narcotic analgesic was （22.08±7.11）ug in auricular point group A and was （20. 19± 7.21） /,g in auricular point group B, which were reduced as compared with （26.13 ± 9.04） /ug in the placebo group （both P〈0.05）. The difference in the dosage of propofol, the anesthetic was not significant statistically among three groups （P〉0.05）. On the/st day after surgery, the score of pain visual analogue scale （VAS） was （1.77± 1.65） in auricular point group A and was （1.80±1.96） in auricular point group B, which were reduced as com- pared with （2.62±1.46） in the placebo group （both P〈0.05）. Before surgery, the serum B-endorphin （B-EP） was （198.8±124.1） pg/mL in auricular point group A and was （207.2±102.7） pg/mL in auricular point group B, which were higher apparently as compared with （143.6±87.1） pg/mL in the placebo group （both P〈0.05）. The differences in the above indices were not significant statistically between
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第3期237-240,共4页
Chinese Acupuncture & Moxibustion
基金
广东省科学技术厅科技计划课题资助项目:2008B030301362
关键词
耳穴贴压
全麻术
镇静镇痛
腹腔镜手术
auricular point sticking~ general anesthesia~ sedation and analgesia~ laparoscopic surgery
