经皮穴位电刺激对老年下肢手术患者的体温影响

发布时间：2018-04-24 09:30

本文选题：经皮穴位电刺激 + 术中低体温　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:探讨术前30min经皮穴位电刺激对行下肢手术的老年患者体温的影响,观察穴位电刺激下循环系统、血糖、术中寒战的变化。方法:将符合纳入标准的60例入选病例,随机分为观察组和对照组,每组30例(n=30)。观察组患者术前30min用韩式经皮穴位电刺激仪对百会穴、大椎穴、健侧足三里穴进行疏密波电刺激,持续到手术结束。对照组不给予穴位经皮电刺激。记录并比较手术中不同时间点两组患者的鼻咽温度、心率、血压、血糖,及术中出血量、寒战情况。结果:观察组患者鼻咽温度下降幅度、血糖下降幅度、低体温发生率、低血糖发生率、寒战发生率、寒战程度均明显低于对照组(P0.05);观察组患者术中血压、心率波动、失血量小于对照组,但差异无统计学意义(P0.05)。结论:经皮穴位电刺激应用在老年患者下肢手术中能较好的维护体温稳定,降低术中寒战的发生率;降低循环波动及减轻应激反应,有利于手术过程安全、平稳。
[Abstract]:Objective: to investigate the effect of preoperative 30min percutaneous acupoint electrical stimulation on body temperature of elderly patients undergoing lower extremity operation, and to observe the changes of circulatory system, blood glucose and shivering during operation. Methods: sixty patients who met the inclusion criteria were randomly divided into observation group and control group with 30 cases in each group. In the observation group, 30min was used to stimulate Baihui point, Dazhui point and healthy side Zusanli point with Korean transcutaneous acupoint electric stimulation instrument before operation, and the stimulation lasted until the end of operation. The control group was not given acupoint percutaneous electrical stimulation. The nasopharyngeal temperature, heart rate, blood pressure, blood sugar, intraoperative bleeding and shivering were recorded and compared. Results: the decrease of nasopharyngeal temperature, blood glucose, hypothermia, hypoglycemia, shivering, shivering degree in the observation group were significantly lower than those in the control group (P 0.05), the blood pressure and heart rate fluctuated during operation in the observation group. The amount of blood loss was lower than that of the control group, but the difference was not statistically significant (P 0.05). Conclusion: the application of percutaneous acupoint electrical stimulation in lower extremity surgery of elderly patients can better maintain the stability of body temperature, reduce the incidence of shivering during operation, reduce the fluctuation of circulation and relieve stress reaction, which is beneficial to the safety and stability of the operation process.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.2

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