穴位按压在妇科腹腔镜手术全麻术后催醒的临床观察及护理.docVIP

精品论文 参考文献 穴位按压在妇科腹腔镜手术全麻术后催醒的临床观察及护理 何清明1 郭翠容1 陆立仁2 王志强1 （1广东佛山市南海区妇幼保健院手术室 广东佛山 528200） （2南方医科大学附属南海医院麻醉科 广东佛山 528000） 【中图分类号】R473.71【文献标识码】B【文章编号】1672-5085（2012）5-0097-02 【摘要】目的 探讨穴位按压对妇科腹腔镜手术全麻患者术后催醒的有效性。 方法 选择ASA I-II妇科腹腔镜择期手术60例，每组30例，随机分为穴位按压组(X组)和空白对照组(C组)，观察术毕时(T1)、达到清醒标准时(T2)、拔除气管导管后15min(T3)的MAP、HR、PETCO2、SPO2、改良的警觉－镇静(OAA/S)评分、脑电双频谱指数（BIS）值；同时记录达到清醒评定标准的时间。 结果 在T3时点MAP和HR在X组比C组的升高(Plt;0.05)；PETCO2、SPO2在相应时间点各组间差异无统计学意义(Pgt;0.05)；BIS在T3时点X组明显高于C组(Plt;0.05)；X组在T3时点清醒满意度比C组高，但差异无统计学意义(Pgt;0.05)；复苏时间比较，X组明显快于C组(Plt;0.05)。结论 穴位按压应用于妇科腹腔镜手术全麻术后催醒明显提高清醒质量，不会增加催醒期并发症，保证临床医疗安全性。 【关键词】妇科 腹腔镜手术 穴位 麻醉复苏 【Abstract】 To explore the effect of acupucture sticking on post general anesthesia after gynaecological laparoscopy . Method 60 ASA grade I-II selective patients undergoing gynaecological laparoscopy were divided into two equal-sized groups for acupucture (X group) and control (C group). MAP、HR、PETCO2、SPO2、Improved OAA/S、BIS of all patients were observed at end of operation (T1), at awake standard time(T2), at removal of tracheal catheter after 15min (T3), and the time to awake standard was recorded. Result MAP increased significantly in X group than C group at T3 (Plt;0.05). HR in C group was minimum (Plt;0.05) at T3. PETCO2、SPO2 had no significant difference between two groups (Pgt;0.05). BIS was significantly higher in X group than C group at T3 (Plt;0.05). Revival satisfaction in X group was better than C group , but the difference was not statistically significant (Pgt;0.05) . Recovery in X group was faster than C group (Plt;0.05). Conclusion Acupucture sticking was effective on post anesthesia recovery after gynaecological laparoscopy , and the quality of post anesthesia recovery was improved, the wake-up complications did not increase, medical security was ensured. 【Key words】gynaecology laparoscopic surgery acupucture post anesthesia recovery 术后病人早期催醒治疗，能有效避免苏醒延迟，提高患者的安全性，减轻患者的经济负担，是术后护理工作顺利开展的重要保障。中医穴位治疗颅脑疾病导致昏迷患者，能够加速催醒，疗效显著[1,3]。但是穴