麻醉安全与质控2024，Vol.6Issue(2)：66-69,4.DOI:10.3969/j.issn.2096-2681.2024.02.002
电针刺激患肢同侧星状神经节对上肢骨折全麻患者手术应激反应的影响
Effect of electroacupuncture stimulation of the ipsilateral stellate ganglion on the surgical stress response in patients under general anesthesia for upper limb frac-ture surgery
摘要
Abstract
Objective To explore the inhibitory effects of electroacupuncture stimulation of the ipsilateral stellate ganglion on the surgi-cal response and inflammation response in patients with upper limb fracture under general anesthesia.Methods A total of 70 patients scheduled to receive upper limb fracture under general anesthesia,from December 2021 to June 2023,were divided into the control group(n=35)and the experimental group(n=35)according to random number table method.The control group received 20 min acupunc-ture,while the experimental group received high frequency electroacupuncture stimulation of the stellate ganglion for 20 min.Stress response blood indexes(epinephrine,norepinephrine,cortisol),and inflammatory response indexes(TNF-α,IL-6)were recorded at entering the operating room(T1),immediately after endotracheal intubation(T2),the beginning of surgery(T3),the end of surgery(T4)and endotracheal extubation(T5).Intraoperative opioid dosage(Sufentanil and remifentanil)were recorded.Results Compared with the control group,stress response blood indexes and inflammatory response indexes of the experimental group were lower(P＜0.05).Conclusion Preoperative application of electroacupuncture stimulation of the stellate ganglion inhibits the stress response during surgery and the release of inflammatory factors in patients as well as reduces the intraoperative opioid dosage.关键词
电针刺激/星状神经节/手术应激反应/炎症反应Key words
electroacupuncture stimulation/stellate ganglion/surgical stress response/inflammatory response引用本文复制引用
杨森林,俞良..电针刺激患肢同侧星状神经节对上肢骨折全麻患者手术应激反应的影响[J].麻醉安全与质控,2024,6(2):66-69,4.基金项目
2021年杭州市科技计划引导项目(农业与社会发展)(20211231Y144) （农业与社会发展）
