经皮穴位电刺激防治甲状腺手术术后咽喉痛临床的的疗效观察.docVIP

经皮穴位电刺激防治甲状腺手术术后咽喉痛临床的的疗效观察 　　摘要：目的 探讨经皮穴位电刺激（TEAS）防治甲状腺手术术后咽喉痛（POST）的临床疗效。方法 将120例ASA（美国麻醉医师协会）病情分级Ⅰ～Ⅱ级的拟行甲状腺手术患者采用随机数字表法分为对照组和TEAS组各60例，2组均采用气管插管全麻，TEAS组麻醉诱导前30 min至术毕于双侧合谷和内关使用TEAS进行干预，对照组以相同装置置于双侧合谷和内关但不做电刺激，分别记录2组患者术中瑞芬太尼使用量，拔管后1、6、12、24 h POST发生率和严重程度，24 h内术后恶心呕吐（PONV）发生率及严重程度，术后24 h手术切口疼痛视觉模拟评分（VAS）。结果 TEAS组患者术中瑞芬太尼使用量低于对照组（P0.05），拔管后各时点POST发生率及严重程度均明显低于对照组（P0.05），术后24 h内PONV发生率及严重程度均低于对照组（P0.05），术后24 h手术切口VAS评分低于对照组（P0.05）。结论 甲状腺手术术中进行TEAS干预可有效降低POST发生率及严重程度。 　　关键词：经皮穴位电刺激；甲状腺手术；咽喉痛 　　DOI：10.3969/j.issn.1005-5304.2016.12.007 　　中图分类号：R245.9 文献标识码：A 文章编号：1005-5304（2016）12-0026-04 　　Clinical Efficacy Observation of Transcutaneous Electrical Acupoint Stimulation for Prevention of Postoperative Sore Throat After Thyroid Surgery WANG Dong-dong1，2， FANG Xiang-ming1， ZHANG Kai1， XIE Guo-hao1， PENG Cong-bin2 （1. First Affiliated Hospital of Medical College of Zhejiang University， Hangzhou 310009， China； 2. Tongde Hospital of Zhejiang Province， Hangzhou 310012， China） 　　Abstract： Objective To investigate the clinical effect of transcutaneous electrical acupoint stimulation （TEAS） for prevention of postoperative sore throat （POST） after thyroid surgery. Methods Totally 120 thyroid surgery patients， ASA Ⅰ or Ⅱ， were randomly assigned into TEAS group （60 cases） and control group （60 cases） by random number table method. All the patients underwent endotracheal intubation anesthesia. TEAS group was continually treated with TEAS at bilateral Hegu （LI4） and Neiguan （PC6） from 30 minutes before induction to the end of operation， and the control group was treated with the same instrument at Hegu and Neiguan but without electrical stimulation. The dose of remifentanyl used during operation， the incidence and severity of POST were recorded at 1， 6， 12， and 24 hours after tracheal extubation， respectively.In addition， the incidence and severity of PONV as well as the incision VAS score in two groups were assessed. Results Remifentanyl usage amount in TEAS group was lower t