电针刺激双侧足三里和内关穴对全麻镇静深度的影响.docVIP

精品论文 参考文献 电针刺激双侧足三里和内关穴对全麻镇静深度的影响 （新疆医科大学附属中医医院 830000） 【摘 要】目的：观察电针刺激双侧足三里和内关穴对全麻镇静深度的影响。方法：将40例行全麻下腹腔镜胆囊切除术的患者随机分为全麻组（A组）和全麻+电刺激组两组（B组），每组20例。A组行常规静脉全麻，B组行常规静脉全麻+电针刺激双侧足三里和内关穴。每5分钟记录患者心率（HR）、平均动脉压（MAP）和脑电双频指数（BIS）数值。结果：与A组相比B组的BIS值在电刺激开始10分钟后显著降低（plt;0.05），而在各时点HR和MAP值两组间无明显差异（pge;0.05）。结论：全身麻醉期间电针刺激双侧足三里和内关穴能够显著降低镇静深度，但是对心率和平均动脉压没有明显改变。 【中图分类号】R614.2 【文献标识码】B 【文章编号】1003-5028（2015）7-0282-02 【Abstract】Objective:To investigate the impact of electroacupuncture(EA) at bilateral acupuncture points zusanli and neiguan on the level of sedation in general anaesthesia.Methods:40 patients undergoing laparoscopic cholecystectomy(LC) were randomly divided into two groups:EA combined with general anaesthesia (A group,n=20) and general anaesthesia control group(B group,n=20).Propofol was used for the induction and maintenance of general anaesthesia to reach an equilibrium state of the bispectral index(BIS).In the A group, EA was performed with a Huatuo EA device.In the control group,general anaesthesia was performed without EA stimulation.In both groups, heart rate(HR),mean blood pressure (MAP) and BIS were recorded after anesthesia induction every five minutes.Results:From 10 min after the start of EA stimulation the BIS of the A group were significantly lower than those of the control group (plt;0.05). HR and MAP of the two groups showed no significant differences at any time points (pge;0.05).Conclusions:EA stimulation at bilateral zusanli and neiguan significantly deepens the sedation level of general anaesthesia, has little impact on haemodynamics and provides significant delayed sedation effects. 目前外科手术微创技术日益普及，但麻醉方式尚无明显改变，麻醉医生在提供满意的麻醉深度和患者快速康复之间常面临抉择，本文利用电针刺激穴位技术符合全身麻醉，期望在不增加麻醉药物剂量和种类的前提下，能够提供更满意的麻醉镇静深度，减少术后麻醉相关并发症。 1 资料与方法 纳入拟在全麻下行腹腔镜胆囊切除术40名，ASAⅠ或Ⅱ级。随机分为全麻组（A组）和全麻+电刺激组两组（B组），每组20例。排除标准：糖尿病及周围神经病变、严重肝肾疾病、高血压及心律失常患者。本研究通过本院伦理委员会同意，患者均签署知情同意书。 入室后开放外周静脉，常规吸氧，监测血压（BP）、心电图（ECG）、血氧饱和度（SpO2)和脑电双频指数（BIS）。麻醉方式采用静脉全麻，麻醉诱导：异丙酚2mg/kg，罗库溴铵0.6