CAJ | 학술논문

目的：探讨电针预处理对腹腔镜下子宫肌瘤剔除术患者心肌功能的影响。方法：选取60例行腹腔镜下子宫肌瘤剔除术患者随机分成观察组和对照组，术前对观察组患者内关、列缺、神门穴给予电针预处理连续3天。分别检测术前与术后血清肌酸激酶（ CK）、肌酸激酶同工酶（ CK-MB）、谷草转氨酶（ AST）及乳酸脱氢酶（ LDH）的含量，并术中监测各时间点的心率（ HR）和平均动脉压（ MAP）。结果：对照组在T2及T3时HR及MAP均升高，且术后CK及AST值均高于术前（均P＜0．05）；而观察组在术中与术后HR、MAP、心肌酶谱与术前均变化不明显（ P＞0．05），且与对照组相比在T2、T3及术后均明显下降（均P＜0．05）。结论：在行腹腔镜下子宫肌瘤剔除术前对患者进行电针预处理，可以有效提高患者血液循环的稳定及保护心肌功能，是一种安全、有效、简便的预防心肌损害的方法，可提高手术麻醉的安全性及降低手术风险。
목적：탐토전침예처리대복강경하자궁기류척제술환자심기공능적영향。방법：선취60례행복강경하자궁기류척제술환자수궤분성관찰조화대조조，술전대관찰조환자내관、렬결、신문혈급여전침예처리련속3천。분별검측술전여술후혈청기산격매（ CK）、기산격매동공매（ CK-MB）、곡초전안매（ AST）급유산탈경매（ LDH）적함량，병술중감측각시간점적심솔（ HR）화평균동맥압（ MAP）。결과：대조조재T2급T3시HR급MAP균승고，차술후CK급AST치균고우술전（균P＜0．05）；이관찰조재술중여술후HR、MAP、심기매보여술전균변화불명현（ P＞0．05），차여대조조상비재T2、T3급술후균명현하강（균P＜0．05）。결론：재행복강경하자궁기류척제술전대환자진행전침예처리，가이유효제고환자혈액순배적은정급보호심기공능，시일충안전、유효、간편적예방심기손해적방법，가제고수술마취적안전성급강저수술풍험。
Objective:To study the effect of electroacupuncture pre -treatment on cardiac function of patients with hysteromyomectomy under the laparoscope .Methods:Sixty patients who underwent hysteromyomectomy un-der the laparoscope were randomly divided into observation group (30 cases) and control group (30 cases). The observation group was given electroacupuncture pre -treatment ( EA on Neiguan , Lieque and Shenmen points)for three days before surgery .The levels of CK, CK-MB, AST, LDH in two groups before anesthesia and 24h post operation were detected.The HR and MAP were monitored and compared .Results:The HR, MAP were significantly increased at T2(5 min after pneumoperitoneum ) and T3(10 min after pneumoperitoneum ), while the CK , AST were also increased compared with those before pneumoperitoneum in control group ( P <0.05 ) .Instead ,the HR , MAP and Myocardial eyzymes were not obviously different compared with those before pneumoperitoneum (P>0.05),which were dramatic declined compared with those in control group at T 2,T3and 24 h post operation time points ( P<0 .05 ) .Conclusion:Patients with hysteromyomectomy under the laparo-scope who were given electroacupuncture pre -treatment, which could ensure the circulation stability and pro-tect the cardiac functions .It is a new way to prevent the cardiac damage and is safe , effective and convenient , which can improve the safety of operation under anesthesia and reduce the risk of operation .