中国医科大学学报2017，Vol.46Issue(4)：298-301,305,5.DOI:10.12007/j.issn.0258-4646.2017.04.003
经皮穴位电刺激对小儿电子耳蜗植入术苏醒期躁动的影响
Effect of Transcutaneous Electrical Acupoint Stimulation on Emergence Agitation in Children Undergoing Cochlear Implantation
摘要
Abstract
Objective To study the effect of transcutaneous electrical acupoint stimulation (TEAS) on emergence agitation in children undergoing cochlear implantation.Methods Sixty patients (age range,1-4 years) scheduled to undergo pediatric cochlear implantation were enrolled and randomized into the TEAS group (group T,n =30) that received continuous TEAS and the control group (group C,n =30) that did not receive TEAS.Anesthesia time,operation time,change in blood flow dynamics during the perioperative period,extubation time,and PACU stay time were recorded.The incidence of emergence agitation and postoperative nausea and vomiting (PONV) was monitored.Results No significant intergroup differences were observed in age,sex,weight,operation time,and PACU stay time (P ＞ 0.05).The MAP and HR in group T were lower than those in group C at different time points such as 30 min after the start of surgery,the end of the surgery,the extubation and 5 min after extubation,and the difference was statistically significant (P ＜ 0.05).The FPS-R,FLACC,and PAED scores in group T were lower than those in group C at different time points within 30 min after exmbation (including the time of extubation),and the difference was statistically significant (P ＜ 0.05).Extubation time,anesthesia time,and incidence of PONV were lower in group T than in group C,and the difference was statistically significant (P ＜ 0.05).Conclusion TEAS combined with general anesthesia significantly reduces the incidence of emergence agitation in children undergoing surgery for congenital hearing loss;it also helps control hypotension,reheve dramatic hemodynamic changes during the waking period,and reduce the incidence of PONV.关键词
经皮穴位电刺激/电子耳蜗植入术/控制性降压/术后躁动/婴幼儿Key words
transcutaneous electrical acupoint stimulation/cochlear implantation/controlled hypotension/emergence agitation/infants and young children分类
医药卫生引用本文复制引用
陈方园,杨悦,孙雪晨,黑笑凡,马铃..经皮穴位电刺激对小儿电子耳蜗植入术苏醒期躁动的影响[J].中国医科大学学报,2017,46(4):298-301,305,5.基金项目
国家自然科学基金(81302534) （81302534）
