摘要
目的:观察电针百会、四神聪对妇科腹腔镜手术患者的抗焦虑作用及对麻醉镇静药物用量的影响。方法:将270例妇科腹腔镜手术患者随机分为电针组、药物组和对照组,各90例。电针组患者于麻醉诱导前24 h及2 h予电针百会和四神聪,连续波,频率100 Hz。麻醉诱导前30 min,药物组患者予0.02 mg/kg咪达唑仑静脉滴注,对照组患者予0.9%氯化钠溶液静脉滴注。分别于麻醉诱导前10 min及术后6 h观察3组患者状态-特质焦虑量表简表(STAI-S6)及视觉模拟焦虑量表(VAS-A)评分。于麻醉诱导前10 min(T1)和改良的清醒/镇静量表(OAA/S)评分4级(T2)时记录3组患者平均动脉压(MAP)、心率(HR)及双频谱指数(BIS),于T2时记录3组患者丙泊酚用量。比较3组患者手术相关不良反应。结果:麻醉诱导前10 min和术后6 h,电针组、药物组患者STAI-S6评分及VAS-A评分均低于对照组(P<0.05);药物组、电针组患者T1时BIS及T2时丙泊酚用量均低于对照组(P<0.05)。3组患者MAP、HR及手术相关不良反应发生率比较差异均无统计学意义(P>0.05)。结论:电针百会、四神聪可有效缓解妇科腹腔镜手术患者术前焦虑,减少术中丙泊酚用量,疗效与传统抗焦虑药物相当。
Objective To observe the anti-anxiety effect of electroacupuncture at Baihui(GV 20) and Sishencong(EX-HN 1) in patients with gynecological laparoscopic surgery, and to explore its effect on the anesthetic dosage during anesthesia induction. Methods A total of 270 patients with gynecological laparoscopic surgery were randomized into an electroacupuncture group, a medication group and a control group, 90 cases in each group. At 24 h and 2 h before anesthesia induction, electroacupuncture was applied at Baihui(GV 20) and Sishencong(EX-HN 1) in the electroacupuncture group,with continuous wave, 100 Hz in frequency. At 30 min before anesthesia induction, midazolam of 0.02 mg/kg was given by intravenous drip in the medication group, while 0.9% sodium chloride solution was given by intravenous drip in the control group. At 10 min before anesthesia induction and 6 h after surgery, the scores of 6 item short form of state-trait anxiety inventory(STAI-S6) and visual analogue scale-anxiety(VAS-A) were observed;at 10 min before anesthesia induction(T1) and observer’s assessment of alertness/sedation scale(OAA/S) grade 4(T2), mean artery pressure(MAP),heart rate(HR) and value of bispectral index(BIS) were recorded;the dosage of propofol at T2 was recorded and the surgery related adverse reactions were compared among the 3 groups. Results At 10 min before anesthesia induction and 6h after surgery, the STAI-S6 and VAS-A scores in the electroacupuncture group and the medication group were lower than those in the control group(P<0.05). Values of BIS at T1 and dosage of propofol at T2 in the electroacupuncture group and the medication group were lower than those in the control group(P<0.05). There were no statistical differences in MAP, HR and surgery related adverse reactions among the 3 groups(P>0.05). Conclusion Electroacupuncture at Baihui(GV 20)and Sishencong(EX-HN 1) can effectively relieve the presurgical anxiety in patients with gynecological laparoscopic surgery, and reduce the dosage of propofol, its effect is similar
作者
郑奥特
刘昊
周巍
王宏伟
ZHENG Ao-te;LIU Hao;ZHOU Wei;WANG Hong-wei(Department of Anesthesiology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China;Department of Acupuncture and Moxibustion,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2022年第10期1115-1119,共5页
Chinese Acupuncture & Moxibustion
基金
浙江省中医药科技计划项目:2020ZQ007。
关键词
妇科腹腔镜手术
电针
术前焦虑
丙泊酚用量
随机对照试验
gynecological laparoscopic surgery
electroacupuncture
presurgical anxiety
dosage of propofol
randomized controlled trial(RCT)
