胃镜检查术青中年患者针药复合麻醉方案的优选研究

发布时间：2018-04-15 19:29

本文选题：胃镜检查 + 针药复合麻醉　；参考：《江苏中医药》2016年01期

【摘要】：目的:研究优化胃镜检查术中针药复合麻醉方案,利用正交设计方法筛选出最佳方案。方法:利用正交设计方法,选择144例青中年胃镜检查患者随机分为9组,分别采用针刺介入时机(A)、头体腧穴选择(B)、电针频率参数(C)、麻醉药物配伍(D)4个因素及相应的3水平进行干预,观察术中应激反应积分、异丙酚药量、心率和血压波动值等指标,筛选出最佳组合方案。结果:影响疗效的关键是麻醉药物配伍,腧穴选择次之,而针刺介入时机、电针频率参数对疗效的影响小。针药复合麻醉的最佳方案为:麻醉药物配伍选异丙酚+芬太尼(0.5μg/kg)、针刺腧穴选择头部和肢体穴位、针刺介入时机在术前10min进行、电针频率参数选择低高频交替(2/100Hz)或低频(2Hz)。结论:青中年患者在胃镜检查术前10min进行针刺头部和肢体腧穴,加用电针频率参数选择低高频交替(2/100Hz)或低频(2Hz),并采用异丙酚+芬太尼(0.5μg/kg)麻醉药物配伍的优化组合方案能有效提高疗效。
[Abstract]:Objective: to study the optimal anesthesia scheme of acupuncture and medicine during gastroscopy, and to select the best scheme by orthogonal design.Methods: 144 young and middle-aged patients were randomly divided into 9 groups by orthogonal design.Four factors and corresponding three levels of acupuncture intervention were used to observe the stress response score, propofol dosage, heart rate and blood pressure fluctuation, respectively.The best combination scheme is selected.Results: the key to the curative effect was the compatibility of anesthetic drugs, the selection of acupoints was the second, and the time of acupuncture intervention and the frequency parameter of electroacupuncture had little effect on the curative effect.The best scheme of combined acupuncture and medicine anesthesia was as follows: propofol fentanyl 0.5 渭 g / kg, acupuncture acupoints selected head and limb acupoints, acupuncture intervention time performed before 10min, electroacupuncture frequency parameters of low frequency alternating 2 / 100 Hz) or low frequency (2HzC) or low frequency (2HzN) of propofol fentanyl (0.5 渭 g / kg 路kg ~ (-1)).Conclusion: the head and limb acupoints were needled by 10min before gastroscopy in young and middle-aged patients.The optimal combination of electroacupuncture frequency parameters, low frequency alternating 2 / 100 Hz or low frequency 2 Hz, and propofol fentanyl 0.5 渭 g / kg was used to improve the efficacy of anaesthesia. The results showed that the optimal combination of propofol fentanyl and propofol fentanyl 0.5 渭 g / kg could improve the efficacy.
【作者单位】：南宁市第七人民医院;
【基金】：广西南宁市科学研究与技术计划开发计划项目(20133187)
【分类号】：R614

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