针刺联合异丙酚防治胃镜检查术中应激反应的研究

发布时间：2018-06-07 16:58

本文选题：针刺 + 异丙酚　；参考：《中华中医药学刊》2015年06期

【摘要】：目的:观察针刺联合异丙酚应用于胃镜检查对患者术中应激反应影响。方法:选取2014年1月—2014年10月收治的需行胃镜检查患者200例作为研究对象,随机分为两组,每组100例,观察组采取针刺联合异丙酚麻醉,对照组给予异丙酚,比较两组患者术中不同时刻血压、心率等指标变化,并比较两组不良反应发生率。结果:观察组诱导后、检查开始时、检查5 min时刻平均动脉压、心率及血氧饱和度均更为平稳,P0.05。观察组胃镜检查术中应激反应防治效果优良率99例(99.0%),均高于对照组91例(91.0%),P0.05。观察组异丙酚总量及苏醒时间均低于对照组,P0.05。观察组不良反应3例(3.0%)低于对照组11例(11.0%,χ2=4.916,P0.05)。结论:针刺联合异丙酚应用于胃镜检查可显著抑制术中应激反应,且不良反应少,临床应用安全。
[Abstract]:Objective: to observe the effect of acupuncture combined with propofol on intraoperative stress response of patients with gastroscopy. Methods: from January 2014 to October 2014, 200 patients with gastroscopy were randomly divided into two groups, 100 cases in each group. The observation group was treated with acupuncture combined with propofol anesthesia, and the control group was treated with propofol. The changes of blood pressure and heart rate at different times during operation were compared between the two groups, and the incidence of adverse reactions was compared between the two groups. Results: after induction, the mean arterial pressure, heart rate and oxygen saturation at 5 min were more stable in the observation group than in the control group (P 0.05). The excellent and good rate of stress response in the observation group was 99. 0%, which was higher than that of 91 cases in the control group (P 0. 05). The total amount and recovery time of propofol in the observation group were lower than that in the control group (P 0.05). The adverse reactions in the observation group (3 cases) were lower than that in the control group (11 cases), 蠂 2 was 4.916% (P 0.05). Conclusion: acupuncture combined with propofol in gastroscopy can significantly inhibit intraoperative stress reactions with less adverse reactions and safe clinical application.
【作者单位】：宁波市第六医院麻醉科;
【基金】：浙江省科技厅项目[zj(z)2012-2-3-4A-5]
【分类号】：R614

【参考文献】