经皮穴位电刺激对胃肠外科手术术后镇痛及胃肠功能的影响

Effect of transcutaneous acupoint electrical stimulation on postoperative analgesia and gastrointestinal function in patients undergoing gastrointestinal surgery

  • 摘要:
      目的   观察经皮穴位电刺激(TEAS)对胃肠外科手术患者术后镇痛及胃肠功能恢复的影响。
      方法   将择期行胃肠手术的60例患者随机分为对照组和TEAS组,每组30例。2组均采用静吸复合全身麻醉,对照组仅给予基础治疗, TEAS组在基础治疗基础上术后4、24h给予经皮穴位电刺激30 min。记录患者术后疼痛视觉模拟评分法(VAS)评分、肠鸣音评分、排气和排便时间、术后追加镇痛药用量、不良反应情况以及舒适度量表(BCS)评分。
      结果  TEAS组术后第1~2天疼痛评分低于对照组,术后首次排气时间短于对照组,舒适度量表(BCS)评分高于对照组,差异有统计学意义(P < 0.05)。2组术后1~2d肠鸣音评分比较,差异无统计学意义(P>0.05)。TEAS组患者术后不良反应发生率低于对照组,术后追加的镇痛药用量少于对照组,差异有统计学意义(P < 0.05)。
      结论   TEAS可增强术后镇痛效果,促进胃肠功能恢复,提高患者舒适度且不良反应少,有利于患者术后康复。

     

    Abstract:
      Objective   To observe the effect of transcutaneous electrical acupoint stimulation (TEAS) on postoperative analgesia and recovery of gastrointestinal function in patients undergoing gastrointestinal surgery.
      Methods  Sixty patients undergoing elective gastrointestinal surgeries were randomly divided into control group and TEAS group, with 30 patients in each group. Patients of both groups were given general anesthesia, the control group was given basic treatment only, while the TEAS group was given percutaneous acupoint electrical stimulation for 30 min on the basis of basic treatment 4 and 24 h after surgery. Visual Analogue Scale (VAS) score, bowel sounds score, exhaust and defecation time, analgesic drug dosage after operation, adverse reactions and comfort scale (BCS) score were recorded.
      Results  Compared with the control group, the VAS score at the 1st to 2nd day after surgery of the TEAS group was significantly lower, and the time to first flatus was shorter than that in the control group, and the BCS score of the TEAS group was higher than that of the control group (P < 0.05). However, there was no significant difference in the bowel sound score between the two groups from the 1st to 2nd day after surgery (P>0.05). The incidence of postoperative adverse reactions in the TEAS group was lower than that in control group, and the amount of postoperative additional analgesics was less than that in control group (P < 0.05).
      Conclusion  Transcutaneous electrical acupoint stimulation can enhance effect of postoperative analgesia, promote recovery of gastrointestinal function, improve the comfort of patients, and have fewer postoperative adverse reactions, which is conducive to the postoperative rehabilitation of patients.

     

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