摘要
Abstract
Objective:To investigate the impact of transcutaneous electrical acupoint stimulation-assisted anesthesia on the pain of patients undergoing thoracic surgery.Method:70 patients who underwent thoracic surgery admitted to Liyang Hospital of Traditional Chinese Medicine from June 2021 to June 2024 were selected as study subjects,and the patients were divided into observation group(n=35)and control group(n=35)according to the method of random number table.In the control group,traditional anesthesia was administered,and in the observation group,transcutaneous electrical stimulation of acupoints was performed at the bilateral Neiguan and Hegu points after the induction of traditional anesthesia until the end of the operation.The dosage of intraoperative anesthetic drugs,the visual analog(VAS)scores at rest and during activity at 4 h,8 h,12 h,and 24 h after extubation,the number of cases of postoperative remedial analgesia,the incidence of adverse reactions,and the length of hospitalization were compared between the two groups.Result:The proportion of additional sufentanil in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The VAS scores of the observation group were lower than those of the control group in all time periods,and the difference was statistically significant(P<0.05).The effective number of analgesic pump presses and the total number of presses were reduced in the observation group compared with the control group,and the difference was statistically significant(P<0.05).The proportion of postoperative remedial analgesia was lower than that of the control group.The time from the end of surgery to awakening,time to get out of bed,ICU time and anal defecation time were all shorter in the observation group than in the control group,and the difference was statistically significant(P<0.05).The Quality of Recovery-40 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The intraoperative implementation of transcutaneous acupoint electrical stimulation-assisted anesthesia for thoracic surgery patients can effectively reduce the dosage of anesthesia drugs,reduce the pain level of patients at rest and during activities,reduce the proportion of postoperative remedial analgesia and the incidence of adverse reactions,and promote the recovery of patients.关键词
开胸手术/麻醉/经皮穴位电刺激/疼痛Key words
Open chest surgery/Anesthesia/Transcutaneous acupoint electrical stimulation/Pain
