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| 经皮穴位电刺激对无痛胃肠镜检查后恶心呕吐的影响 |
| Effect of transcutaneous electrical acupoint stimulation on nausea and vomiting after painless gastroenteroscopy |
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| DOI：10.12089/jca.2022.12.008 |
| 中文关键词: 经皮穴位电刺激 胃肠镜 恶心呕吐 足三里 |
| 英文关键词: Transcutaneous electrical acupoint stimulation Gastroenteroscopy Nausea and vomiting Zusanli |
| 基金项目:山东省自然科学基金（ZR2021MH168）；山东省中医药科技发展计划项目（2019-0176） |
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| 中文摘要: |
目的 观察经皮穴位电刺激(TEAS)双侧足三里穴（ST36）、脾俞穴（BL20）及大陵穴（PC7）对预防无痛胃肠镜检查后恶心呕吐的影响。
方法 选择行无痛胃肠镜检查患者159例，男72例，女87例，年龄25～64岁，BMI 18~28 kg/m2，ASA Ⅰ或Ⅱ级。采用随机数字表法将患者分为两组：TEAS组（T组，n=80）和对照组（C组，n=79）。麻醉诱导前T组给予TEAS双侧ST36、BL20及PC7 20 min；C组仅在相应穴位予电极片贴敷不行电刺激。两组麻醉诱导均采用丙泊酚1.5 mg/kg复合舒芬太尼0.1 μg/kg，并根据检查中患者情况追加丙泊酚0.5 mg/kg。记录患者苏醒后30 min头晕、恶心呕吐发生情况。记录检查中最低HR、SBP、DBP和苏醒后30 min的SBP、DBP。记录患者、麻醉科医师满意情况及患者留观时间。
结果 与C组比较，T组检查后恶心呕吐发生率明显降低（P＜0.05），检查中最低SBP明显升高（P＜0.05），患者和麻醉科医师满意度明显升高（P＜0.05），留观时间明显缩短（P＜0.05）。
结论 经皮穴位电刺激双侧足三里穴、脾俞穴及大陵穴可有效预防无痛胃肠镜患者检查后恶心呕吐的发生。 |
| 英文摘要: |
Objective To observe the effect of transcutaneous electrical acupoint stimulation (TEAS) of bilateral Zusanli (ST36), Spleen Meridian (BL20) and Daling (PC7) points on the prevention of nausea and vomiting in patients undergoing painless gastroenteroscopy.
Methods A total of 159 patients underwent painless gastroscopy, 72 males and 87 females, aged 25-64 years, BMI 18-28 kg/m2, ASA physical status Ⅰ or Ⅱ, were randomly divided into two groups: TEAS group (group T, n = 80) and control group (group C, n = 79). In group T, three acupoints, namely ST36, BL20 and PC7, were stimulated before painless gastroenteroscopy, lasting for 20 minutes. In group C, the electronic stimulation was not applied. All patients in both group T and group C were induced with propofol 1.5 mg/kg and sufentanil 0.1 μg/kg, and propofol 0.5 mg/kg was added each time according to the patient's condition during the examination. The occurrence of dizziness, nausea and vomiting 30 minutes after awakening were recorded. The lowest HR, SBP, DBP, during the examination and SBP, DBP 30 minutes after awakening were recorded. The satisfaction of patients and anesthesiologists and the observation time of patients were also recorded.
Results Compared with group C, the incidence rate of nausea and vomiting in group T was significantly decreased (P < 0.05), the lowest SBP was significantly increased (P < 0.05), the satisfaction of patients and anesthesiologists were significantly increased (P < 0.05), and the observation time was significantly shortened (P < 0.05).
Conclusion Transcutaneous electrical acupoint stimulation of bilateral Zusanli, Spleen Meridian and Daling points was effective for preventing nausea and vomiting in patients undergoing painless gastroenteroscopy. |
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