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目的:研究经皮穴位电刺激对妇科腹腔镜手术患者术后反应的影响。方法:将妇科腹腔镜手术患者100例随机分为2组各50例,对照组采取全身麻醉,观察组则行经皮穴位电刺激辅助全麻,比较2组患者术后不同时间点恶心、呕吐症状及疼痛视觉模拟评分法(VAS)评分。结果:观察组术后6、12、24、48 h VAS评分明显低于对照组(P<0.05)。术后6、12 h,恶心发生率观察组分别为10.0%、4.0%,对照组分别为30.0%、22.0%,2组比较,差异有统计学意义(P<0.05);其余各时间点2组恶心、呕吐发生率比较,差异均无统计学意义(P>0.05)。观察组术后平均排气、排便时间均明显短于对照组(P<0.05)。结论:经皮穴位电刺激辅助麻醉能明显减轻患者术后疼痛,减少恶心、呕吐发生率,缩短排气时间。
Objective: To study the effect of percutaneous electric stimulation on the postoperative response in patients undergoing gynecological laparoscopic surgery. Methods: 100 cases of gynecological laparoscopic surgery were randomly divided into two groups of 50 cases, the control group to take general anesthesia, the observation group was percutaneous electrical stimulation assisted general anesthesia, the two groups were compared at different time points after nausea and vomiting And pain visual analogue scale (VAS) score. Results: The VAS scores of the observation group at 6, 12, 24 and 48 h after operation were significantly lower than those of the control group (P <0.05). At 6 and 12 hours after operation, the incidence of nausea was 10.0% and 4.0% respectively in the observation group and 30.0% and 22.0% in the control group respectively (P <0.05). The other two time points were 2 There was no significant difference in the incidence of nausea and vomiting between the two groups (P> 0.05). The mean duration of postoperative exhaust and defecation in the observation group was significantly shorter than that in the control group (P <0.05). Conclusion: Acupoint electroacupuncture can significantly reduce postoperative pain, reduce the incidence of nausea and vomiting, and shorten the exhaust time.