经皮穴位电刺激对腹腔镜肠道手术围术期胃肠道功能的影响

发布时间：2018-05-23 12:40

本文选题：经皮穴位电刺激 + 腹腔镜　；参考：《临床麻醉学杂志》2017年06期

【摘要】：目的观察经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)对腹腔镜肠道手术后胃肠道功能恢复的影响。方法选择择期行腹腔镜下肠切除手术患者60例,男28例,女32例,年龄18~65岁,ASAⅠ或Ⅱ级,随机分为TEAS组和对照组。TEAS组在手术当天及术后3d内每天给予内关、合谷、足三里等穴位TEAS一次,对照组操作同TEAS组但不开启电源。记录两组患者术前、术后12、24、48、72h血清胃动素浓度;术后肠蠕动恢复时间、肛门排气时间、住院时间以及术后3d内恶心呕吐的发生率。结果与对照组比较,TEAS组术后24h血清胃动素浓度明显升高[(218.5±52.3)pg/ml vs(141.8±45.8)pg/ml,P0.05],术后肠鸣音恢复时间[(19.4±3.2)h vs(29.6±7.8)h,P0.05]明显提前,肛门首次排气时间明显提前[(23.2±4.7)h vs(36.5±8.9)h,P0.05],术后3d内恶心呕吐发生率明显降低(16.7%vs 36.7%,P0.05)。两组住院时间差异无统计学意义。结论经皮穴位电刺激可促进腹腔镜肠道手术围术期胃肠道功能的恢复。
[Abstract]:Objective to observe the effect of transcutaneous electrical acupoint stimulation on gastrointestinal function after laparoscopic intestinal surgery. Methods A total of 60 patients (28 males and 32 females, aged 18 to 65 years) undergoing laparoscopic enterectomy were randomly divided into TEAS group and control group. The patients in the control group were given Neiguan and Hegu every day on the day of operation and 3 days after operation. Zusanli and other acupoints TEAS once, the control group operated with TEAS group but did not turn on the power. Serum motilin concentration, recovery time of intestinal peristalsis, anal exhaust time, hospital stay and incidence of nausea and vomiting were recorded before and after operation. Results compared with the control group, the serum motilin concentration increased significantly 24 hours after operation in tea group [218.5 卤45.8 52.3)pg/ml vs(141.8 卤45.8 PG / ml P 0.05], the recovery time of postoperative bowel sounds [19.4 卤3.2 h vs(29.6 卤7.8 h P 0.05], the first anal venting time obviously advanced [23.2 卤4.7 h vs(36.5 卤8.9 h], the incidence of nausea and vomiting significantly decreased within 3 days after operation, the incidence of nausea and vomiting was significantly lower than that of control group (P 0.05). There was no significant difference in hospitalization time between the two groups. Conclusion Percutaneous acupoint electrical stimulation can promote the recovery of gastrointestinal function in perioperative period of laparoscopic intestinal surgery.
【作者单位】：上海中医药大学附属曙光医院麻醉科;
【基金】：上海市卫生和计划生育委员会中医药科研基金资助(2014LP091B) 国家重点基础研究发展计划(973-2013CB531901) 上海市中医药事业发展三年行动计划项目(ZY3-CCCX-2-1003)
【分类号】：R614

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