腕踝针联合静脉自控镇痛泵治疗异位妊娠腹腔镜术后疼痛的疗效观察

发布时间：2018-01-08 09:35

本文关键词：腕踝针联合静脉自控镇痛泵治疗异位妊娠腹腔镜术后疼痛的疗效观察　出处：《中国针灸》2017年11期 　论文类型：期刊论文

【摘要】：目的:观察腕踝针联合静脉自控镇痛泵(patient controlled intravenous analgesia,PCIA)和单纯PCIA治疗异位妊娠腹腔镜术后疼痛的临床疗效差异。方法:将符合该试验标准的98例患者按照随机数字表法分为观察组和对照组,每组49例。两组均采用了全身静吸复合麻醉,对照组仅采用PCIA术后镇痛,观察组采用腕踝针双侧踝部1、2区联合PCIA治疗。分别于手术后1 h、2 h、6 h、12 h、24 h、36 h、48 h采用视觉模拟量表(visual analogue scale,VAS)对两组患者切口疼痛情况进行评分,并比较两组镇痛总有效率及术后48 h内不良反应的发生率。结果:观察组手术后6 h、12 h、24 h切口痛VAS评分低于对照组(均P0.01),其余时间点两组评分差异均无统计学意义(均P0.05)。观察组总有效率为98.0%(48/49),对照组总有效率为83.7%(41/49),差异有统计学意义(P0.05)。观察组不良反应发生率为12.2%(6/49),对照组为69.4%(34/49),差异有统计学意义(P0.01)。结论:腕踝针配合PCIA能有效缓解腹腔镜探查术后疼痛,降低术后不良反应发生率。
[Abstract]:Objective: to observe the patient controlled intravenous analgesia with carpal ankle acupuncture combined with patient-controlled intravenous analgesia pump. Methods: 98 patients with ectopic pregnancy were divided into observation group and control group according to random digital table method. 49 cases in each group were treated with general intravenous inhalation combined anesthesia, the control group only received postoperative analgesia with PCIA, and the observation group with wrist ankle acupuncture on both sides of malleolus 1. Area 2 combined with PCIA were treated at 1 h, 2 h, 6 h, 12 h, 24 h and 36 h, respectively. Visual analogue scale (VAS) was used to evaluate the incision pain in both groups at 48 h. The total effective rate of analgesia and the incidence of adverse reactions within 48 hours after operation were compared between the two groups. The VAS score of 24 h incision pain was lower than that of the control group (all P 0.01). There was no significant difference in scores between the two groups at other time points (all P 0.05). The total effective rate of the observation group was 98.0% and the total effective rate of the control group was 83.741 / 49. The incidence of adverse reactions in the observation group was 12. 2 / 49 and that in the control group was 69. 4 / 49). Conclusion: wrist and ankle acupuncture combined with PCIA can effectively relieve postoperative pain and reduce the incidence of adverse reactions after laparoscopic exploration.
【作者单位】：浙江省丽水市中医院妇科;
【分类号】：R246.2
【正文快照】： 异位妊娠是指受精卵在宫腔外着床并发育的异常妊娠,为妇科常见的急腹症之一。据资料[1]显示,异位妊娠发病率占全部妊娠妇女的2%,该病发病率呈现逐年上升趋势。近年来,腹腔镜手术广泛应用于临床,相比开放手术可有效地减少患者创伤、减轻疼痛,利于患者快速恢复,而且可以改善患

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