上海针灸杂志2025，Vol.44Issue(12)：1456-1461,6.DOI:10.13460/j.issn.1005-0957.2025.12.1456
电针预处理对甲状腺手术患者苏醒期拔管呛咳反应与苏醒质量的影响
Effect of electroacupuncture pretreatment on choking cough response to extubation and awakening quality during the awakening phase in thyroid surgery patients
摘要
Abstract
Objective To observe the effect of electroacupuncture pretreatment on choking cough response to extubation and awakening quality during the awakening phase in thyroid surgery patients.Method Seventy-four patients who would undergo elective thyroid surgery under general anesthesia were randomized to an observation group and a control group,with 37 cases in each group.Two cases discontinued treatment separately in the observation and control groups and finally,35 cases were included in each group.The control group received combined intra-venous-inhalation general anesthesia and the observation group,electroacupuncture pretreatment 30 min before anesthesia induction in addition.The Minogue scale cough grading score and the incidence of extubation-induced choking cough were compared between the two groups of patients during the awakening phase.Time to spontaneous breathing recovery,time to eye opening,time to extubation,post-anesthesia care unit(PACU)stay duration,the Ramsay score and the Riker score were compared between the two groups of patients.Mean arterial pressure pressure(MAP)and heart rate(HR)were observed in the two groups of patients before electroacupuncture(T0),3 min after anesthesia induction(T1),1 min after tracheal intubation(T2),at extubation(T3)and 30 min after extubation(T4).The incidences of remedial analgesia,respiratory depression,pruritus,muscle rigidity,nausea/vomiting and dizziness were compared between the two groups of patients within 48 hrs after surgery.Result During the awakening phase,the Minogue scale cough grading score and the incidence of extubation-induced choking cough were lower(P＜0.05),time to spontaneous breathing recovery,time to eye opening,time to extubation and post-anesthesia care unit(PACU)stay duration were shorter(P＜0.05),the Riker score was lower(P＜0.05)and the Ramsay score was higher(P＜0.05)in the observation group than in the control group.In the control group,MAP and HR were lower at T1 than at T0(P＜0.05)and higher at T2 and T3 than at T0(P＜0.05).In the observation group,MAP and HR were higher at T1(P＜0.05)and lower at T2 and T3(P＜0.05)in the observation group than in the control group.The incidences of remedial analgesia,nausea/vomiting and dizziness were lower in the observation group than in the control group within 48 hrs after surgery(P＜0.05).Conclusion Electroacupuncture pretreatment can reduce the incidence of extubation-induced choking cough and improve awakening quality during the awakening phase in thyroid surgery patients.关键词
针刺疗法/电针/甲状腺手术/苏醒/呛咳/辅助麻醉/镇痛Key words
Acupuncture therapy/Electroacupuncture/Thyroid surgery/Awakening/Choking cough/Anesthesia adjunct/Analgesia分类
医药卫生引用本文复制引用
SUN Ning,ZHANG Caiju,HE Jinqian..电针预处理对甲状腺手术患者苏醒期拔管呛咳反应与苏醒质量的影响[J].上海针灸杂志,2025,44(12):1456-1461,6.基金项目
河南省医学科技攻关计划项目(LHGJ201920191449) （LHGJ201920191449）
