世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
4期
485-487
,共3页
针刺%合谷%穴%内关%急性疼痛
針刺%閤穀%穴%內關%急性疼痛
침자%합곡%혈%내관%급성동통
Electro acupuncture%Hegu%Acupoint%Neiguan%Acute pain
目的：观察电针合谷和内关穴对颈椎前路手术后急性疼痛的有效性和安全性。方法：选择因颈椎骨折入院，择期经颈前路行骨折切开复位内固定术的患者60例，随机分为电针组（30例）和药物组（30例）。电针组使用电针刺激合谷和内关穴，分别于术前30 min，手术结束缝皮时继续电针治疗。麻醉方式及用药两组相同。结果：1）平均动脉压、心率变化：电针组术前、拔管前、拔管后平均动脉压、心率与术中比较P＜0.01，拔管后与拔管前比较P＞0.05。药物组拔管后与拔管前比较平均动脉压P＜0.01，心率P＜0.05。2）意识恢复，拔管时间：电针组明显短于药物组，组间比较差异有统计学意义P＜0.01。3）对两组患者拔管即刻，拔管后2 h，4 h，8 h，12 h，24 h进行VAS和Ramsay评分显示，电针组在拔管后4 h内镇痛镇静优于药物组，差异有统计学意义P＜0.05，拔管后2 h内镇痛差异有统计学意义P＜0.01。药物组6例发生恶心、呕吐、便秘等不良反应，电针组1例。术后24 h PCA按压次数药物组共计116次，电针组21次，两组比较差异有统计学意义P＜0.05。结论：电针刺激合谷和内关穴可有效减轻颈椎手术后急性疼痛，患者血流动力学平稳，意识恢复和拔管时间短，苏醒快，镇痛效果显著，不良反应降低，提高了手术安全性。
目的：觀察電針閤穀和內關穴對頸椎前路手術後急性疼痛的有效性和安全性。方法：選擇因頸椎骨摺入院，擇期經頸前路行骨摺切開複位內固定術的患者60例，隨機分為電針組（30例）和藥物組（30例）。電針組使用電針刺激閤穀和內關穴，分彆于術前30 min，手術結束縫皮時繼續電針治療。痳醉方式及用藥兩組相同。結果：1）平均動脈壓、心率變化：電針組術前、拔管前、拔管後平均動脈壓、心率與術中比較P＜0.01，拔管後與拔管前比較P＞0.05。藥物組拔管後與拔管前比較平均動脈壓P＜0.01，心率P＜0.05。2）意識恢複，拔管時間：電針組明顯短于藥物組，組間比較差異有統計學意義P＜0.01。3）對兩組患者拔管即刻，拔管後2 h，4 h，8 h，12 h，24 h進行VAS和Ramsay評分顯示，電針組在拔管後4 h內鎮痛鎮靜優于藥物組，差異有統計學意義P＜0.05，拔管後2 h內鎮痛差異有統計學意義P＜0.01。藥物組6例髮生噁心、嘔吐、便祕等不良反應，電針組1例。術後24 h PCA按壓次數藥物組共計116次，電針組21次，兩組比較差異有統計學意義P＜0.05。結論：電針刺激閤穀和內關穴可有效減輕頸椎手術後急性疼痛，患者血流動力學平穩，意識恢複和拔管時間短，囌醒快，鎮痛效果顯著，不良反應降低，提高瞭手術安全性。
목적：관찰전침합곡화내관혈대경추전로수술후급성동통적유효성화안전성。방법：선택인경추골절입원，택기경경전로행골절절개복위내고정술적환자60례，수궤분위전침조（30례）화약물조（30례）。전침조사용전침자격합곡화내관혈，분별우술전30 min，수술결속봉피시계속전침치료。마취방식급용약량조상동。결과：1）평균동맥압、심솔변화：전침조술전、발관전、발관후평균동맥압、심솔여술중비교P＜0.01，발관후여발관전비교P＞0.05。약물조발관후여발관전비교평균동맥압P＜0.01，심솔P＜0.05。2）의식회복，발관시간：전침조명현단우약물조，조간비교차이유통계학의의P＜0.01。3）대량조환자발관즉각，발관후2 h，4 h，8 h，12 h，24 h진행VAS화Ramsay평분현시，전침조재발관후4 h내진통진정우우약물조，차이유통계학의의P＜0.05，발관후2 h내진통차이유통계학의의P＜0.01。약물조6례발생악심、구토、편비등불량반응，전침조1례。술후24 h PCA안압차수약물조공계116차，전침조21차，량조비교차이유통계학의의P＜0.05。결론：전침자격합곡화내관혈가유효감경경추수술후급성동통，환자혈류동역학평은，의식회복화발관시간단，소성쾌，진통효과현저，불량반응강저，제고료수술안전성。
Objective:To observe the effectiveness and safety of electro acupuncture on Hegu point and Neiguan point to treat acute pain after surgery on anterior cervical spine .Methods:Sixty patients with cervical spine fracture who were about to be given relocation and in -ternal fixation were randomly divided into electro acupuncture group (n=30) and drug group (n=30).Patients in electro acupuncture group were given electro acupuncture on Neigu point and Neiguan point 30 mins before the surgery and after surgery being sutured .The anesthesia method and applied drugs were the same in both groups .Results:1)As for electro acupuncture group , the average changes of arterial blood pressure and heart rate before surgery , before extubation , and after extubation were significantly different from those during the surgery (P<0.01), while the changes had no significant differences between the levels before extubation and after extubation (P>0.05);2)Electro acupuncture had significantly shorter consciousness recovery and exubation time than the drug team (P<0.01);3) Patients in both groups were given VAS and Ramsay evaluation 2 hours, 4 hours, 8 hours, 12 hours, 24 hours after extubation .Electro acupuncture group showed better analgesia effect within 4 hours after extubation compared with drug group (P<0.05);4) There were 6 side effects occurred in drug group including nausea , vomiting, and constipation, and there was 1 happened in the electro acupuncture group.5) The pressure times of PCA 24 hours after surgery were 116 times in drug group and 21 times in the electro acupuncture group , and the differences were significant (P<0.05).Conclusion:Electro acupuncture on Hegu point and Neiguan point can effectively ease the acute pain after surgery cervical spine with stable hemodynamics , short consciousness recovery and extubation time , significant anal-gesia effect and low side effects occurrence rate .
