摘要
目的:探究经皮穴位电刺激对经尿道微创手术患者喉罩置入时应激反应及术后呛咳、恶心呕吐的影响。方法:选择2022年12月—2023年12月福建中医药大学附属第三人民医院收治的110例经尿道微创手术患者作为研究对象,根据随机数字表法分为对照组和观察组,各55例。对照组进行常规全麻,观察组在全麻前给予经皮穴位电刺激干预。比较两组不同时间的平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))、呼吸末二氧化碳峰压(PETCO_(2))、气道峰压(Ppeak)及气道平台压(Pplat)检测结果,同时比较两组术后不同时间的咽痛程度及术后呛咳、恶心呕吐发生率。结果:入室时(T_(1))及诱导后喉罩置入前(T_(2)),两组MAP、HR及SpO_(2)比较,差异均无统计学意义(P>0.05);喉罩置入即刻(T_(3))、置入后3 min(T_(4))、置入后5 min(T_(5))、拔除喉罩前(T_(6))及拔除喉罩即刻(T7),观察组MAP及HR均显著低于对照组,差异均有统计学意义(P<0.05),两组SpO_(2)比较,差异均无统计学意义(P>0.05)。T_(2)、T_(3)、T_(4)、T_(5)及T_(6),两组PETCO_(2)比较,差异均无统计学意义(P>0.05)。T_(3)、T_(4)、T_(5)及T_(6),观察组Ppeak及Pplat均显著低于对照组,差异均有统计学意义(P<0.05)。术后1、6、12、24 h,观察组咽痛程度均显著低于对照组,差异均有统计学意义(P<0.05)。观察组术后呛咳及恶心呕吐发生率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:经皮穴位电刺激可有效缓解经尿道微创手术患者喉罩置入时的应激反应,减少术后呛咳、恶心呕吐发生。
Objective:To explore the effects of percutaneous acupoint electrical stimulation on stress response,postoperative coughing,nausea and vomiting during laryngeal mask insertion in patients undergoing minimally invasive transurethral surgery.Method:A total of 110 patients undergoing minimally invasive transurethral surgery treated in the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from December 2022 to December 2023 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group received general anesthesia,and the observation group was given percutaneous acupoint electrical stimulation intervention before general anesthesia.The results of mean arterial pressure(MAP),heart rate(HR),blood oxygen saturation(SpO_(2)),end-respiratory peak carbon dioxide pressure(PETCO_(2)),airway peak pressure(Ppeak)and airway plateau pressure(Pplat)between the two groups at different times were compared.Meanwhile,the degree of pharyngeal pain at different times and the incidences of postoperative choking,nausea and vomiting were compared between the two groups.Result:There were no significant differences in MAP,HR and SpO_(2)between the two groups at the time of before entry(T_(1))and before laryngeal mask implantation after induction(T_(2))(P>0.05).Immediately after laryngeal mask implantation(T_(3)),3 min after implantation(T_(4)),5 min after implantation(T_(5)),before laryngeal mask removal(T_(6))and immediately after laryngeal mask removal(T7),MAP and HR in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05),but there were no statistical significances in SpO_(2)between the two groups(P>0.05).T_(2),T_(3),T_(4),T_(5)and T_(6),there were no statistical significances in PETCO_(2)between the two groups(P>0.05).T_(3),T_(4),T_(5)and T_(6),Ppeak and Pplat in observation group were significantly lowe
作者
曾赟骏
程暘
杨华军
杨翠萍
官永银
ZENG Yunjun;CHENG Yang;YANG Huajun;YANG Cuiping;GUAN Yongyin(Department of Anesthesiology,the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Minhou 350100,China)
出处
《中国医学创新》
CAS
2024年第24期116-121,共6页
Medical Innovation of China
基金
福建中医药大学校管科研课题(XB2022044)。
关键词
经皮穴位电刺激
喉罩
应激反应
术后呛咳
恶心呕吐
Percutaneous acupoint electrical stimulation
Laryngeal mask
Stress response
Postoperative coughing
Nausea and vomiting
