摘要
目的:探讨腹腔镜下胃癌根治术患者实施经皮穴位电刺激的效果。方法:选取2018年6-12月本院收治的60例拟行择期胃癌根治术患者为研究对象。将60例患者根据抽签法随机分为对照组和试验组,每组30例。两组均采用韩氏穴位神经刺激仪治疗,对照组以常规法操作,试验组实施经皮穴位电刺激治疗,比较两组治疗效果差异。结果:试验组丙泊酚、瑞芬太尼、舒芬太尼用量均少于对照组,镇痛泵按压次数、额外追加镇痛药次数均少于对照组,差异均有统计学意义(P<0.05)。试验组苏醒时间、拔管时间均短于对照组,苏醒期躁动率低于对照组,差异均有统计学意义(P<0.05)。t1、t2时,试验组VAS评分均明显低于对照组,差异均有统计学意义(P<0.05)。试验组下床活动时间、首次排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。术后24、48 h,试验组NK细胞水平均高于对照组,Treg细胞水平均明显低于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜下胃癌根治术患者实施经皮穴位电刺激的效果显著,可在临床推广。
Objective:To investigate the effect of transcutaneous electrical acupoint stimulation on patients undergoing laparoscopic radical gastrectomy for gastric cancer.Method:A total of 60 patients admitted to our hospital from June to December 2018 to undergo elective radical gastrectomy were selected as study subjects.They were randomly divided into control group and test group according to the lottery method,30 cases in each group.Both groups were treated with Han’s acupoint nerve stimulator,the control group was operated with conventional method,and the experimental group was treated with percutaneous acupoint electrical stimulation.The difference of treatment effect between the two groups was compared.Result:The dosage of Propofol,Remifentanil and Sufentanil in the experimental group were less than those in the control group,and the times of pressing analgesia pump and additional analgesic drugs in the experimental group were less than those in the control group,the differences were statistically significant (P<0.05).The recovery time and extubation time in the experimental group were shorter than those in the control group,the agitation rate in the recovery period was lower than that in the control group,the differences were statistically significant (P<0.05).At t1 and t2,the VAS score of the experimental group were significantly lower than those of the control group,the differences were statistically significant (P<0.05).The time of getting out of bed,the first exhaust time and hospitalization time in the experimental group were shorter than those in the control group,the differences were statistically significant (P<0.05).At 24 and 48 hours after operation,the levels of NK cells in the experimental group were higher than those in the control group,the levels of Treg cells in the experimental group were significantly lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The effect of transcutaneous electrical acupoint stimulation in patients with laparoscopic r
作者
唐芳
宋志平
刘志毅
冯娜敏
赵伟红
邓伟武
张蔚
游学学
TANG Fang;SONG Zhiping;LIU Zhiyi;FENG Namin;ZHAO Weihong;DENG Weiwu;ZHANG Wei;YOU Xuexue(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)
出处
《中国医学创新》
CAS
2020年第31期50-54,共5页
Medical Innovation of China
基金
江西省卫生计生委中医药科技计划项目(2018B070)。
关键词
腹腔镜
胃癌根治术
经皮穴位电刺激
Laparoscopy
Radical gastrectomy
Transcutaneous electrical acupoint stimulation
