针药复合麻醉应用于腹腔镜胆囊切除术的临床疗效观察

发布时间：2018-06-19 11:07

本文选题：针药复合麻醉 + 腹腔镜胆囊切除术　；参考：《中国中医基础医学杂志》2015年06期

【摘要】：目的:评价针药复合麻醉在腹腔镜胆囊切除术中的应用价值。方法:选取腹腔镜胆囊切除术患者60例按随机数字表法分为试验组和对照组,试验组选取双侧日月穴、气冲穴、阳陵泉穴并给予持续电针刺激。比较2组患者术中麻醉药用量、停药至意识恢复和拔除气管导管时间、术后疼痛评分及镇痛药物的使用情况,记录2组患者术后恶心呕吐的发生及肠道功能恢复情况。结果:试验组麻醉药用量明显少于对照组,试验组患者从停药到意识恢复、拔除气管导管时间显著缩短,术后试验组患者疼痛评分、镇痛药物的使用及恶心呕吐的发生均低于对照组,同时试验组患者在肠功能的恢复方面明显优于对照组。结论:腹腔镜胆囊切除术病人采用针药复合麻醉取得了良好的麻醉效果且恢复迅速。
[Abstract]:Objective: To evaluate the value of combined acupuncture and drug anesthesia in laparoscopic cholecystectomy. Methods: 60 cases of laparoscopic cholecystectomy were selected and divided into experimental group and control group according to the random digital table method. The experimental group selected bilateral day and moon point, Qi Chong point, Yang Ling spring acupoint and continuous electric acupuncture stimulation. Compare the amount of anesthetics in the 2 groups of patients and stop drugs. To recover and remove tracheal catheter time, postoperative pain score and the use of analgesic drugs, record 2 groups of postoperative nausea and vomiting and intestinal function recovery. Results: the dosage of anesthetics in the experimental group was significantly less than that of the control group. The pain score, the use of analgesic drugs and the occurrence of nausea and vomiting in the experimental group were all lower than those in the control group, and the patients in the experimental group were obviously better than the control group. Conclusion: the patients in the laparoscopic cholecystectomy with combined acupuncture and drug anesthesia have obtained good anesthetic effect and recovered rapidly.
【作者单位】：上海中医药大学附属曙光医院;
【基金】：上海市中医药事业发展三年行动计划重大研究)-针药复合麻醉优选方案及临床疗效评价研究(ZYSNXD-CC-ZDYJ014)
【分类号】：R614

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