引用本文:[点击复制]
[点击复制]
【打印本页】 【在线阅读全文】【下载PDF全文】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 39次   下载  本文二维码信息
码上扫一扫!
经皮穴位电刺激对乳腺癌患者术后恢复质量的影响
王棕皆,曾繁培,钱彬
0
(福建医科大学附属龙岩第一医院麻醉科;福建中医药大学附属人民医院麻醉科)
摘要:
【摘要】目的 评价经皮穴位电刺激对乳腺癌患者术后恢复质量的影响。方法 纳入全身麻醉下行乳腺癌改良根治手术患者68例,年龄18~60岁,按美国麻醉医师(ASA)分级为Ⅰ~Ⅱ级,随机分为电刺激组和对照组各34例。电刺激组采用麻醉前经皮电刺激双侧合谷(LI4)、内关(PC6)和足三里(ST36)30 min;对照组未行穴位电刺激。主要观察指标为患者术后24小时QOR40评分,次要观察指标包括术中瑞芬太尼用量、恶心呕吐等不良反应发生率和患者满意度评分。结果 与对照组比较,电刺激组患者术后24 小时QOR40评分升高;术中瑞芬太尼用量减少;术后恶心、呕吐发生率降低;患者满意度提高。结论 经皮穴位电刺激可提高全身麻醉下乳腺癌患者术后早期恢复和减少不良反应发生率,适合临床应用。
关键词:  经皮穴位电刺激  术后恢复质量  恶心呕吐  乳腺癌手术
DOI:
基金项目:福建省医学创新课题(2015-CXB-24)
Effects of transcutaneous electrical acupoint stimulation on postoperative recovery quality after breast cancer surgery
WANG Zongjie,ZENG Fangpei,QIAN Bin
(Department of Anesthesiology, Longyan First Hospital Affiliated to Fujian Medical University,;Department of Anesthesiology, The People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,)
Abstract:
【Abstract】Objective To evaluate the effects of transcutaneous electrical acupoint stimulation (TEAS) on the postoperative quality of recovery after breast cancer surgery undergoing general anesthesia. Methods 68 patients with American Society of Anesthesiologists physical status (ASA) I or II undergoing breast cancer surgery were randomly allocated to TEAS group and control group. The TEAS group received bilateral Hegu (LI4), Neiguan (PC6) and Zusanli (ST36) TEAS for 30 min before anesthesia induction, whereas the control group received no TEAS. The primary outcome was the quality of recovery, which was assessed at 24h after surgery using the Quality of Recovery 40 questionnaire(QOR40). Secondary outcomes included intraoperative remifentanil consumption, the incidence of postoperative nausea and vomiting(PONV) and patient’s satisfaction. Results Global QOR40 score at 24 h after surgery of TEAS group was higher than that in the control group. Compared with the control group, the cumulative doses of remifentanil was low in the TEAS group patients. Preoperative TEAS reduced the incidence of PONV and improved the patient’s satisfaction scores. Conclusion Preoperative TEAS can enhance the quality of recovery and patient’s satisfaction after general anesthesia for breast cancer surgery.
Key words:  Transcutaneous electrical acupoint stimulation  Postoperative nausea and vomiting  Quality of recovery  Breast cancer surgery

用微信扫一扫

用微信扫一扫