[1]吴 勇,曲 宁.经皮穴位电刺激在老年骨科手术麻醉中的应用效果[J].医学信息,2021,34(13):125-127.[doi:10.3969/j.issn.1006-1959.2021.13.033]
　WU Yong,QU Ning.Application Effect of Percutaneous Electrical Acupoint Stimulation in Anesthesia of Elderly Orthopedic Surgery[J].Medical Information,2021,34(13):125-127.[doi:10.3969/j.issn.1006-1959.2021.13.033]
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经皮穴位电刺激在老年骨科手术麻醉中的应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年13期
页码:
125-127
栏目:
临床研究
出版日期:
2021-07-01

文章信息/Info

Title:
Application Effect of Percutaneous Electrical Acupoint Stimulation in Anesthesia of Elderly Orthopedic Surgery
文章编号:
1006-1959（2021）13-0125-03
作者:
吴 勇; 曲 宁
（青海省中医院麻醉科，青海 西宁 810000）
Author(s):
WU Yong; QU Ning
(Department of Anesthesiology,Qinghai Hospital of TCM,Xining 810000,Qinghai,China)
关键词:
经皮穴位电刺激; 全身麻醉; 脑电双频指数; 骨科手术
Keywords:
Transcutaneous electrical acupoint stimulation; General anesthesia; EEG bispectral index; Orthopedic surgery
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.13.033
文献标志码:
A
摘要:
（青海省中医院麻醉科，青海 西宁 810000）
Abstract:
Objective To explore the application of percutaneous electrical acupoint stimulation in the anesthesia of elderly orthopedic surgery.Methods A total of 253 elderly orthopedic surgery patients admitted to our hospital from June 2017 to June 2020 were selected and randomly divided into observation group (n=127) and control group (n=126).The control group was given general anesthesia, and the observation group was combined with percutaneous electrical acupoint stimulation on the basis of the control group. The average arterial pressure, heart rate, and BIS value of the two groups were compared.Results At T1 and T2, the MAP and HR levels of the two groups were lower than the T0 time point, and the MAP and HR levels of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05);At T3 and T4 time points, there was no statistically significant difference between the two groups of MAP and HR levels at the T0 time point (P＞0.05).There was no statistically significant difference in the levels of MAP and HR between the two groups (P＞0.05);At T1 and T2, the BIS level of the two groups was lower than the T0 time point, and the BIS level of the observation group was lower than that of the control group, the difference was statistically significant (P＜0.05);At T3 time point, the BIS level of the two groups was lower than T0 time point,the difference was statistically significant (P＜0.05).However, the difference between the two groups was not statistically significant (P＞0.05);At T4 time point, there was no statistically significant difference in BIS levels between the two groups and T0 time point (P＞0.05).There was no statistically significant difference between the two groups (P＞0.05).Conclusion Transcutaneous electrical acupoint stimulation has a good effect in anesthesia during orthopedic surgery for the elderly. It can effectively improve the patient’s hemodynamic fluctuations, reduce the body’s stress response, and reduce the level of BIS with high safety.

参考文献/References:

[1]颜景佳,曾枝敏,孙加晓,等.精准化闭环靶控输注丙泊酚用于老年患者骨科手术麻醉的观察[J].中国微创外科志,2018,18(1):11-14. [2]宋云川.不同麻醉方式对老年骨科患者术后短期认知功能的影响对比[J].中国急救复苏与灾害医学杂志,2017,12(11):1046-1048. [3]白丹,张焕.针刺辅助麻醉在老年髋关节置换术中的应用研究[J].中国现代医生,2019,57(14):108-111,169. [4]郭涛,肖胜,储伟,等.不同针刺疗法镇痛在静息态脑功能磁共振局部一致性的变化及针刺镇痛机制的异同性[J].针灸临床杂志,2015,31(8):25-27. [5]时克昌,孔军拥.益骨汤联合经皮穴位电刺激(TEAS)对老年性骨质疏松症疼痛的治疗效果观察[J].中国继续医学教育,2016,8(7):184-185. [6]姚娜,李鹏程,张瑾,等.基于骨质疏松疼痛机制探讨经皮穴位电刺激镇痛机理[J].实用老年医学,2020,34(12):89-91,95. [7]张萍,原源,李晓玉,等.不同性别老年髋部骨折患者骨密度T值及骨代谢状况分析[J].中华老年医学杂志,2020,39(1):57-61. [8]王天龙.维护老年患者内环境稳定与代偿状态是围手术期管理之核心[J].中华医学杂志,2020,17(31):2401-2403. [9]Shin HJ,Koo BW,Bang SU,et al.Intraoperative dexme-detomidine sedation reduces the postoperative agitated behavior in elderly patients undergoing orthopedic surgery compared to the propofol sedation[J].Minerva Anestesiol,2017,83(10):1042-1050. [10]曲宗阳,周淑珍,包杰,等.老年腹部大手术患者术后肺部并发症及相关因素分析[J].中华老年医学杂志,2020,39(9):1034-1037. [11]吕国蔚.穴位传入与针刺镇痛的基础与临床研究[J].神经解剖学杂志,2016,32(1):119-123. [12]谢爽.经皮穴位电刺激在老年骨科手术麻醉中的应用[J].上海针灸杂志,2020,39(5):579-583. [13]赵崇法,郭艳辉.经皮穴位电刺激辅助静脉复合麻醉在颈部手术中的应用[J].中国中西医结合外科杂志,2017,23(1):54-56. [14]黄健,高鸿,曹莹,等.经皮穴位电刺激对七氟醚全麻患者术后嗅觉记忆障碍及血浆褪黑素的影响[J].中国针灸,2020,40(3):243-246. [15]梁华娜,陈德全,黎达锋.脑电双频指数监测全身麻醉深度的临床研究[J].中国实用医药,2018,13(14):82-84.

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更新日期/Last Update: 1900-01-01