摘要
目的观察电针治疗对腹腔镜子宫肌瘤切除术患者术后疼痛及免疫功能的影响.方法将2018年3月—2020年4月行腹腔镜子宫肌瘤切除术的患者120例,按随机数字表法分为对照组与观察组(每组60例).对照组予以假电针治疗,观察组予以电针治疗.比较两组患者年龄、肌瘤个数、肌瘤直径,手术时间、术后排气时间,术后1、6、12h VAS疼痛评分,术前、术后1d、术后3 d静脉血CD3^(+)、CD4^(+)水平及术后不良反应(恶心呕吐、腹胀)发生率.结果两组患者年龄、肌瘤个数及肌瘤直径比较,差异无统计学意义(P>0.05).观察组患者术后排气时间少于对照组(P<0.05),两组患者手术时间差异无统计学意义(P>0.05).两组患者术后1 h的VAS疼痛评分差异无统计学意义(P>0.05),观察组术后6、12 h的VAS疼痛评分低于对照组(P<0.05).与术后1 h比较,两组患者术后6、12 h VAS疼痛评分增加(P<0.05);术后12 h与术后6 h比较,差异无统计学意义(P>0.05).两组患者术前静脉血CD3^(+)、CD4^(+)水平差异无统计学意义(P>0.05),观察组术后1、3 d静脉血CD3^(+)、CD4^(+)水平高于对照组(P<0.05).与术前比较,观察组术后1 d静脉血CD3^(+)、CD4^(+)水平降低(P<0.05);与术后1 d比较,观察组术后3 d静脉血CD3^(+)、CD4^(+)水平升高(P<0.05).观察组术后不良反应总发生率低于对照组(P<0.05).结论电针治疗能减轻腹腔镜子宫肌瘤切除术患者术后疼痛,提高免疫功能,降低术后不良反应发生率,促进术后康复.
Objective To observe the effect of electroacupuncture on postoperative pain and immune function in patients after laparoscopic hysteromyoma surgery.Methods A total of 120 patients who were diagnosed with uterine leiomyoma and underwent laparoscopic surgery from March 2018 to April 2020 were enrolled.According to the random number table method,they were divided into two groups(n=60):a control group and an observation group.The control group received shame electroacupuncture,while the observation group was treated with electroacupuncture.Both groups were compared for age,number of hysteromyoma,diameter of hysteromyoma,operation time and exhaus time,Visual Analogue Scale(VAS)score at post-operative 1,6 h and 12 h,the levels of CD3^(+) and CD4^(+)before operation and at post-operative I and 3 days,and the incidence of adverse reactions(nausea,vomiting and abdominal distension).Results There was no significant diference in age,number of hysteromyoma,diameter of hysteromyoma between the two groups(P>0.05).The postoperative exhaust time of the observation group was shorter than that of the control group(P<0.05),and there was no statistical difference in operation time between the two groups(P>0.05).There was no statistical dfference in VAS scores between the two groups(P>0.05),while the VAS scores in the observation group at post-operative 6 h and 12 h were lower than those in the control group(P<0.05).Compared with those 1 h before operation,both groups showed increases in VAS scores 6 h after operation(P<0.05);there was no statistical dfference between VAS scores at post-operative 6 h and 12 h(P>0.05).There was no statistical difference in the level of CD3^(+)and CD4^(+) between the wo groups before operation(P>0.05).The levels of CD3^(+) and CD4^(+) the observation group were higher than those in the control group(P<0.05).Compared with those before operation,the levels of CD3^(+) and CD4^(+) in the observation group decreased one days after operation(P<0.05).Compared with those at post-operative 1 day,the levels of C
作者
曾亚飞
吴兴鉴
陈玮
陈梦
邓超文
Zeng Yafei;Wu Xingjian;Chen Wei;Chen Meng;Deng Chaowen(Department of Anesthesiology,the First Affliated Hospital of Hunan College of Traditional Chinese Medicine,Zhuzhou 412000,China;Department of Anesthesiology,the First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)
出处
《国际麻醉学与复苏杂志》
CAS
2022年第8期830-833,共4页
International Journal of Anesthesiology and Resuscitation
关键词
电针治疗
腹腔镜治疗
子宫肌瘤
疼痛
免疫功能
Electro-acupuncture
Therapeuticlaparoscopy
Hysteromyoma
Pain
Immune function