中国医学创新2024，Vol.21Issue(24)：116-121,6.DOI:10.3969/j.issn.1674-4985.2024.24.026
经皮穴位电刺激对经尿道微创手术患者喉罩置入时应激反应及术后呛咳、恶心呕吐的影响
Effect of Percutaneous Acupoint Electrical Stimulation on Stress Response and Postoperative Coughing,Nausea and Vomiting during Laryngeal Mask Insertion in Patients Undergoing Minimally Invasive Transurethral Surgery
摘要
Abstract
Objective:To explore the effects of percutaneous acupoint electrical stimulation on stress response,postoperative coughing,nausea and vomiting during laryngeal mask insertion in patients undergoing minimally invasive transurethral surgery.Method:A total of 110 patients undergoing minimally invasive transurethral surgery treated in the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from December 2022 to December 2023 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group received general anesthesia,and the observation group was given percutaneous acupoint electrical stimulation intervention before general anesthesia.The results of mean arterial pressure(MAP),heart rate(HR),blood oxygen saturation(SpO2),end-respiratory peak carbon dioxide pressure(PETCO2),airway peak pressure(Ppeak)and airway plateau pressure(Pplat)between the two groups at different times were compared.Meanwhile,the degree of pharyngeal pain at different times and the incidences of postoperative choking,nausea and vomiting were compared between the two groups.Result:There were no significant differences in MAP,HR and SpO2 between the two groups at the time of before entry(T1)and before laryngeal mask implantation after induction(T2)(P>0.05).Immediately after laryngeal mask implantation(T3),3 min after implantation(T4),5 min after implantation(T5),before laryngeal mask removal(T6)and immediately after laryngeal mask removal(T7),MAP and HR in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05),but there were no statistical significances in SpO2 between the two groups(P>0.05).T2,T3,T4,T5 and T6,there were no statistical significances in PETCO2 between the two groups(P>0.05).T3,T4,T5 and T6,Ppeak and Pplat in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.05).At 1,6,12 and 24 h after operation,the degree of pharyngeal pain in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The incidences of postoperative cough,nausea and vomiting in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Percutaneous acupoint electrical stimulation can effectively relieve the stress response during laryngeal mask insertion in patients undergoing minimally invasive transurethral surgery,and reduce the incidence of postoperative cough,nausea and vomiting.关键词
经皮穴位电刺激/喉罩/应激反应/术后呛咳/恶心呕吐Key words
Percutaneous acupoint electrical stimulation/Laryngeal mask/Stress response/Postoperative coughing/Nausea and vomiting引用本文复制引用
曾赟骏,程暘,杨华军,杨翠萍,官永银..经皮穴位电刺激对经尿道微创手术患者喉罩置入时应激反应及术后呛咳、恶心呕吐的影响[J].中国医学创新,2024,21(24):116-121,6.基金项目
福建中医药大学校管科研课题(XB2022044) （XB2022044）
