上海针灸杂志2025，Vol.44Issue(2)：250-253,4.DOI:10.13460/j.issn.1005-0957.2025.02.0250
术前超声引导针刺麻醉对妇科腹腔镜手术后早期恢复的影响
Effect of preoperative ultrasound-guided acupuncture anesthesia on early recovery after gynecologic laparoscopic surgery
摘要
Abstract
Objective To observe the effect of preoperative ultrasound-guided acupuncture anesthesia on early recovery after gynecologic laparoscopic surgery.Method A total of 100 patients undergoing elective gynecologic laparoscopic surgery under general anesthesia were randomly divided into an acupuncture group and a control group.In the acupuncture group,electroacupuncture was applied to bilateral Neiguan(PC6)points under ultrasound guidance before surgery,while in the control group,only the same points were injected and fixed at the same time(no needle manipulation and electroacupuncture).The occurrence and severity of nausea and vomiting were observed in the two groups before the patients left the anesthesia recovery room(T0),48 h(T1)and 72 h(T2)after the operation,and the time of the first postoperative flatus,the time of the first defecation,the total amount of Propofol used in operation,and the time of postoperative wakefulness were compared between the two groups.Result The incidence and severity of nausea and vomiting at T0,T1 and T2 in the two groups were not statistically significant(P＞0.05).The total amount of Propofol used in operation in the acupuncture group was lower than that in the control group(P＜0.05),and the postoperative wakefulness time,postoperative time of the first flatus and postoperative time of the first defecation in the acupuncture group were earlier than that in the control group(P＜0.05).Conclusion Preoperative ultrasound-guided acupuncture anesthesia can reduce the total use of anesthetic drugs in gynecologic laparoscopic surgery,shorten the postoperative awake time of the patients,and promote the early postoperative recovery.关键词
针药复合麻醉/电针/穴,内关/术后恢复/腹腔镜手术/超声Key words
Combined acupuncture medication anesthesia/Electroacupuncture/Point,Neiguan(PC6)/Postoperative recovery/Laparoscopic surgery/Ultrasound分类
医药卫生引用本文复制引用
邹鲁,屈媛媛,许旭东..术前超声引导针刺麻醉对妇科腹腔镜手术后早期恢复的影响[J].上海针灸杂志,2025,44(2):250-253,4.基金项目
常州市第十一批科技计划项目(CJ20243025) （CJ20243025）
