摘要
目的观察电针预处理对全身麻醉下腹腔镜胃癌根治术后患者睡眠质量的影响。方法将60例择期行腹腔镜胃癌根治术患者随机分为电针组和对照组,每组30例。对照组用静脉吸入复合全身麻醉;电针组在静脉吸入复合全身麻醉的基础上加用电针预处理。观察两组患者术前(T0)、术后1 d(T1)、术后2 d(T2)、术后3 d(T3)、术后5 d(T4)和术后7 d(T5)的匹兹堡睡眠质量指数(PSQI)和阿森斯睡眠量表(AIS)评分的变化,并比较两组患者尿6-羟基硫酸褪黑素(aMT6s)的浓度。结果对照组T1、T2、T3和T4时PSQI和AIS评分均较T0时明显升高(P<0.05),电针组T1、T2、T3和T4时PSQI和AIS评分明显低于对照组(P<0.05)。对照组T1、T2、T3和T4时尿aMT6s浓度较T0时明显降低(P<0.05),电针组T1、T2、T3和T4时尿a MT6s浓度明显高于对照组(P<0.05)。结论电针预处理能降低全身麻醉下腹腔镜胃癌根治术后患者PSQI和AIS评分,升高晨尿中a MT6s的浓度,改善术后睡眠质量。
Objective To observe the effect of electroacupuncture pretreatment on postoperative sleep quality in patients undergoing laparoscopic radical gastrectomy under general anesthesia.Method Sixty patients who underwent elective laparoscopic radical gastrectomy were randomized to an electroacupuncture group and a control group,with 30cases in each group.The control group received combined intravenous-inhalation general anesthesia and the observation group received electroacupuncture pretreatment in addition.The Pittsburgh sleep quality index(PSQI)score and the Athens sleep scale(AIS)score were recorded in the two groups of patients before surgery(T0)and at one day(T1),2 days(T2),3 days(T3),5 days(T4),7 days after surgery(T5).Urine 6-hydroxymelatonin sulfate(aMT6s)concentrations were compared between the two groups of patients.Result At T1,T2,T3 and T4,the PSQI and AIS scores increased significantly in the control group compared with T0(P<0.05)and were significantly lower in the electroacupuncture group than in the control group(P<0.05).At T1,T2,T3 and T4,urine aMT6s concentration decreased significantly in the control group compared with T0(P<0.05),and urine aMT6s concentration was significantly higher in the electroacupuncture group than in the control group(P<0.05).Conclusion Electroacupuncture pretreatment can decrease postoperative PSQI and AIS scores,increase morning urine a MT6s concentration and improve postoperative sleep quality in patients undergoing laparoscopic radical gastrectomy under general anesthesia.
作者
周瑛昊
周民涛
ZHOU Yinghao;ZHOU Mintao(Nanyang First People's Hospital(Hospital Affiliated to Henan University),Nanyang 473010,China)
出处
《上海针灸杂志》
2022年第12期1181-1184,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
南阳市科技计划项目(JCQY024)。
关键词
电针
胃癌
全身麻醉
术后
睡眠质量
失眠
Electroacupuncture
Stomach neoplasms
General anesthesia
Postoperative
Sleep quality
Insomnia
