中国组织工程研究2017，Vol.21Issue(27)：4294-4299,6.DOI:10.3969/j.issn.2095-4344.2017.27.006
经皮电刺激耳神门穴对全膝关节置换后镇痛效果的影响
Analgesic effect of transcutaneous electrical stimulation at the auricularShenmen (H 7) point after total knee arthroplasty
司建洛 1杨木强 1司马靓杰 1韩学昌 1任岩岩1
作者信息
- 1. 河南科技大学临床医学院,河南科技大学第一附属医院麻醉科,河南省洛阳市 471003
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摘要
Abstract
BACKGROUND: Transcutaneous electrical acupoint stimulation (TEAS) exerts good analgesic effect, but its effectiveness and safety in analgesia after total knee arthroplasty have not been reported.OBJECTIVE: To evaluate the analgesic effect of TEAS at the auricular Shenmen (H 7) point in patients undergoing total knee arthroplasty.METHODS: Forty ASA Ⅰ-Ⅲ patients scheduled for total knee arthroplasty under general anesthesia combined with femoral nerve block were enrolled and randomly divided into experimental and control groups (n=20 per group). The patients in the experimental group received TEAS at auricular Shenmen (H 7) point before anesthesia, 8, 16, 36, and 56 hours postoperatively for 30 minutes. The patients in the control group received same method with the experimental group, but without electrical stimulation. Ultrasound-guided continuous femoral nerve blockade was performed before induction, followed by tracheal tube was inserted and the patients were mechanically ventilated. The patients received patient-controlled continuous femoral nerve analgesia after surgery for 72 hours. The Visual Analogue Scale scores and the quadriceps maximum voluntary isometric contraction were recorded at postoperative 6, 12, 24, 48 and 72 hours. The consumption of ropivacaine and tramadol hydrochloride was recorded. Additionally, the incidence of adverse reactions was recorded.RESULTS AND CONCLUSION: (1) The Visual Analogue Scale scores in the experimental group were significantly lower than those in the control group at postoperative 48 and 72 hours (P < 0.05). (2) The quadriceps maximum voluntary isometric contraction in the control group was significantly lower than that in the experimental group at each time point (P < 0.05). (3) The consumption of ropivacaine in the control group ((495.7±39.4) mL) was significantly more than that in the experimental group ((394.5±27.1) mL) (P < 0.05). Seven cases in the control group and one case in the experimental group received the injection of tramadol hydrochloride (P < 0.05). (4) Nausea and vomiting occurred in six cases in the control group and one case in the experimental group, and dizziness only occurred in four cases in the control group (P < 0.05). (5) To conclude, TEAS at the auricular Shenmen (H 7) point can improve the pain after total knee arthroplasty, reduce the consumption of ropivacaine and tramadol hydrochloride, and maintain quadriceps strength.关键词
骨科植入物/人工假体/电刺激疗法/耳神门穴/全膝关节置换/镇痛/目测类比评分/股四头肌肌力/不良反应分类
医药卫生引用本文复制引用
司建洛,杨木强,司马靓杰,韩学昌,任岩岩..经皮电刺激耳神门穴对全膝关节置换后镇痛效果的影响[J].中国组织工程研究,2017,21(27):4294-4299,6.
