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| 颊针疗法对无痛超声胃镜检查中麻醉效果的影响 |
| Effect of buccal acupuncture on anesthetic effects in painless ultrasonic gastroscopy |
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| DOI：10.12089/jca.2026.02.009 |
| 中文关键词: 颊针疗法 超声胃镜 丙泊酚 麻醉效果 |
| 英文关键词: Buccal acupuncture Ultrasonic gastroscopy Propofol Anesthetic effects |
| 基金项目: |
| 作者 | 单位 | E-mail | | 林静 | 637000,四川省南充市,川北医学院附属医院麻醉科 | | | 左友波 | 637000,四川省南充市,川北医学院附属医院麻醉科 | zuoyb2519@163.com | | 李妍妍 | 637000,四川省南充市,川北医学院附属医院麻醉科 | | | 杨思琦 | 637000,四川省南充市,川北医学院附属医院麻醉科 | | | 黄跃 | 637000,四川省南充市,川北医学院附属医院麻醉科 | |
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| 中文摘要: |
目的：探讨颊针疗法对无痛超声胃镜检查中麻醉效果的影响。
方法：选择2024年3—6月接受超声胃镜检查的患者，年龄18～79岁，ASA Ⅰ—Ⅲ级。采用随机数字表法将患者分为两组：颊针组和对照组。颊针组于摆好体位后，在右侧面颊部颈穴、肩胛带穴、背穴、腰穴和腰背穴行颊针疗法，并留针至检查结束；对照组不予颊针治疗。随后两组进行静脉麻醉和超声胃镜检查。主要指标为术中丙泊酚用量。次要指标包括麻黄碱使用情况、苏醒时间、离室时间，内镜医师、麻醉科医师、患者满意度评分。不良反应包括术中低血压、呛咳、呃逆、体动以及术后嗜睡、恶心呕吐等。
结果：共纳入患者68例，每组34例。与对照组比较，颊针组术中丙泊酚用量明显减少，麻黄碱使用率明显降低，苏醒时间和离室时间明显缩短，内镜医师、麻醉科医师和患者满意率明显升高（P<0.05）。
结论：颊针疗法可降低无痛超声胃镜检查过程中丙泊酚用量，缩短患者苏醒时间和离室时间，提高患者满意度。 |
| 英文摘要: |
Objective: To investigate the effect of buccal acupuncture on the anesthetic effects in patients undergoing painless ultrasonic gastroscopy.
Methods: Patients undergoing painless ultrasonic gastroscopy from March to June 2024, aged 18-79 years, and ASA physical status Ⅰ-Ⅲ were enrolled. The patients were divided into two groups by random number table method: buccal acupuncture group and control group. After positioning, patients in the buccal acupuncture group received buccal acupuncture intervention at acupoints (Jingxue, Jianjiadaixue, Beixue, Yaoxue, and Yaobeixue) on the right cheek, with the needles retained until the end of the examination, venous anesthesia and endoscopic ultrasonography were then performed, and the control group received no buccal acupuncture intervention. The primary outcome was the dosage of propofol. Secondary outcomes included intraoperative dosage of ephedrine, times of jaw thrust, recovery time, discharge time from the room, satisfaction scores of endoscopists, anesthesiologists, and patients. Adverse reactions included hypotension, cough, hiccups, body movement, drowsiness, nausea, vomiting.
Results: Sixty-eight patients were enrolled, 34 patients in each group. Compared with the control group, the dosage of propofol was significantly lower in the buccal acupuncture group (P < 0.05), the recovery time and discharge time were significantly shorter, the use of ephedrine usagewas significantly lower, and the satisfaction of endoscopists, anesthesiologists and patients was significantly higher (P < 0.05).
Conclusion: Buccal acupuncture therapy may reduce the dosage of propofol inendoscopic ultrasonography, shorten the recovery time and discharge time, and improve the satisfaction of patients. |
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