摘要
目的探讨颊针疗法联合丙泊酚在宫腔镜手术中的麻醉与镇痛效果。方法选取2023年4月至2023年7月北京中医药大学深圳医院(龙岗)收治的90例择期行静脉全身麻醉下宫腔镜手术的患者作为研究对象,按随机数字表法分为对照组(30例)、舒芬太尼组(30例)和颊针组(30例)。对照组采用单纯丙泊酚的静脉全身麻醉方案,颊针组采用颊针疗法联合丙泊酚的静脉全身麻醉方案,舒芬太尼组采用术中舒芬太尼复合丙泊酚的静脉全身麻醉方案。比较三组患者在入室时(T_(0))、麻醉诱导前(T_(1))、意识消失时(T_(2))、宫颈扩张进镜时(T_(3))和意识恢复时(T_(4))的平均动脉压(MAP)、心率(HR)、经皮动脉血氧饱和度(SpO_(2)),术中不良反应发生、丙泊酚用量、苏醒时间、定向力恢复时间、术后疼痛评分和术后恶心呕吐(PONV)的发生情况。结果三组T_(0)、T_(1)、T_(2)、T_(3)和T_(4)时刻的MAP、HR及SpO_(2)组间比较,差异无统计学意义(P>0.05)。颊针组苏醒时间和定向力恢复时间均早于对照组,差异有统计学意义(P<0.05);颊针组术后苏醒时、苏醒后30 min内疼痛评分均低于对照组,差异有统计学意义(P<0.05)。颊针组术后苏醒时间和定向力恢复时间均短于舒芬太尼组,差异有统计学意义(P<0.05);但是颊针组的丙泊酚用量、术中不良发生、术后疼痛评分、术后PONV发生与舒芬太尼组比较,差异无统计学意义(P>0.05)。结论妇科宫腔镜手术中应用颊针疗法有助于缓解术中不良反应及术后疼痛,可作为宫腔患者手术的辅助方法,值得临床推广应用。
Objective To explore the anesthetic and analgesic effects of buccal acupuncture therapy combined with Propofol in hysteroscopic surgery.Methods A total of 90 patients receiving elective hysteroscopic surgery with intravenous general anesthesia admitted to Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine from April 2023 to July 2023 were selected as the study subjects,and they were divided into control group(30 cases),Sufentanil group(30 cases)and buccal acupuncture group(30 cases)according to the random number table method.The control group received intravenous general anesthesia with Propofol,the buccal acupuncture group received intravenous general anesthesia combined with buccal acupuncture therapy,and the Sufentanil group received intravenous general anesthesia combined with Sufentanil.The mean arterial pressure(MAP),heart rate(HR),and percutaneous arterial oxygen saturation(SpO_(2))at entry(T_(0)),pre-anesthesia induction(T_(1)),loss of consciousness(T_(2)),cervical dilation endoscopy(T_(3)),and consciousness recovery(T_(4)),the incidence of intraoperative adverse reactions,Propofol dosage,awakening time,directional recovery time,postoperative pain score,and incidence of postoperative nausea and vomiting(PONV)were compared among the three groups.Results There were no statistically significant differences in the MAP,HR and SpO_(2)at T_(0),T_(1),T_(2),T_(3),and T_(4)timepoints among the three groups(P>0.05).The awakening and orientation recovery time of the buccal acupuncture group were earlier than those of the control group,with statistically significant differences(P<0.05).The pain scores in the buccal acupuncture group at postoperative awakening and within 30 min after awakening were lower than those of the control group,and the differences were statistically significant(P<0.05).The postoperative awakening and orientation recovery time of the buccal acupuncture group were lower than those in the Sufentanil group,and the differences were statistically significant(P<0.05).However,there were
作者
王晓芳
王慧颖
梁鼎天
李志元
欧阳旭
WANG Xiaofang;WANG Huiying;LIANG Dingtian;LI Zhiyuan;OUYANG Xu(Department of Anesthesiology,Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Guangdong Province,Shenzhen518172,China;Department of Gynecology,Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Guangdong Province,Shenzhen518172,China;Department of Orthopedics,Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Guangdong Province,Shenzhen518172,China;Department of Acupuncture and Moxibustion,Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Guangdong Province,Shenzhen518172,China)
出处
《中国当代医药》
CAS
2024年第22期90-94,共5页
China Modern Medicine
基金
广东省深圳市科技计划项目(JCYJ20210324135600002)。
关键词
颊针疗法
丙泊酚
舒芬太尼
宫腔镜手术
疼痛
Buccal acupuncture therapy
Propofol
Sufentanil
Hysteroscopic surgery
Pain
