经皮穴位电刺激对七氟烷全麻下小儿术后躁动的影响

发布时间：2018-08-25 17:07

【摘要】：目的观察经皮穴位电刺激复合七氟烷麻醉对小儿扁桃体和腺样体摘除术苏醒期躁动的影响。方法将60例择期行扁桃体和腺样体摘除术的患儿(3~6岁)随机分为经皮穴位电刺激组(T组)和对照组(C组),每组各30例。2组患儿麻醉诱导后均行七氟烷吸入麻醉维持,T组同时应用电针刺激合谷和内关穴位直至术毕,C组则不给予电刺激。记录麻醉过程中血流动力学变化、停药后拔管时间、苏醒时间、PACU停留时间,观察术后躁动及恶心呕吐、呼吸抑制等情况。结果比较2组患儿性别、年龄、体质量、麻醉时间、手术时间、拔管时间、苏醒时间、PACU停留时间、术后恶心呕吐、呼吸抑制的发生率,差异无统计学意义(P0.05)。T组拔管时和入PACU时平均动脉压、心率均低于C组,差异有统计学意义(P0.05);T组术后躁动评分低于对照组,差异有统计学意义(P0.01)。结论经皮穴位电刺激可减少七氟烷全麻下小儿术后躁动的发生率,而不延长拔管时间、苏醒时间、在PACU停留时间,也不增加呼吸抑制的发生率。
[Abstract]:Objective to observe the effect of electric stimulation combined with sevoflurane anesthesia on restlessness of tonsillectomy and adenoidectomy in children. Methods 60 children (aged 3 or 6 years) undergoing selective tonsillectomy were randomly divided into two groups: group T (group T) and group C (group C). Each group (30 cases) received sevoflurane inhalation anesthesia after anesthesia induction. Group T was treated with electroacupuncture to stimulate Hegu and Neiguan acupoints until the end of operation, but no electrical stimulation was given in group C. The hemodynamic changes, extubation time, recovery time and PACU residence time were recorded during anesthesia. Postoperative restlessness, nausea and vomiting, respiratory depression were observed. Results Sex, age, body mass, anesthesia time, operation time, extubation time, recovery time, postoperative nausea and vomiting, respiratory depression were compared between the two groups. There was no significant difference (P0.05). The mean arterial pressure and heart rate in group T were lower than those in group C when extubation and entering PACU. The difference was statistically significant (P0.05) the score of postoperative restlessness in group T was lower than that in control group (P0.01). Conclusion Percutaneous acupoint electrical stimulation can reduce the incidence of postoperative restlessness in children under sevoflurane general anesthesia without prolonging the time of extubation, waking up, staying in PACU, or increasing the incidence of respiratory inhibition.
【作者单位】：中国医科大学附属盛京医院麻醉科;
【基金】：国家自然科学基金(81401231)
【分类号】：R726.1

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