摘要
目的探讨针刺对心脏瓣膜置换术后机械通气患者的镇静作用。方法选择60例心脏瓣膜置换术后机械通气患者,随机分为3组。Ⅰ组采用单纯静脉注射异丙酚镇静,Ⅱ组针刺神庭、印堂穴并留针加静脉注射异丙酚镇静,Ⅲ组针刺神庭、印堂穴并留针加电刺激加静脉注射异丙酚镇静。通过调整异丙酚微泵泵速,控制脑电双频指数(bispectral index,BIS)70～80分。观察3组患者异丙酚用量、Ramsay评分、不良反应等的差异。结果Ⅰ组与Ⅱ组间异丙酚用量差异无统计学意义(P>0.05),Ⅲ组异丙酚用量较Ⅰ组与Ⅱ组均显著下降(P<0.05)。3组间BIS值、Ramsay评分、不良反应等差异无统计学意义。且BIS值与Ram- say评分呈负相关(r=-0.85,P<0.01)。结论电针神庭、印堂穴对心脏瓣膜置换术后机械通气患者有一定的镇静作用。
Objective To investigate the sedative effect of acupuncture on patients during mechanical ventilation after valve replacement, Methods Sixty patients during mechanical ventilation after valve replacement were randomly assigned to three groups. Intravenous injection of propofol （Pro I ） was given to patients in group Ⅰ ; to patients in group Ⅱ , Pro Ⅰ was given also and acupuncture at Shenting （DU24） and Yintang （EX-HN3） with needle retention was applied simultaneously, and to those in group In, the same treatment as that for group Ⅱ was applied but with electroacupuncture instead of simple acupuncture. The speed of Pro Ⅰ was controlled through micro-pump to maintain the bispectral index （BIS） within 70 -80. The dose of propofol used, the Ramsay score and adverse reaction, and so on in the three groups were observed and compared. Results Pro Ⅰ dose used was insignificantly different between group Ⅰ and group Ⅱ （P 〉0.05）, but in group In it was more reduced than that in the other two groups （P 〈 0.05）, No significant difference in BIS, Ramsay score,adverse reaction, etc, was found among the three groups. BIS measurements showed negative correlation with Ramsay scores （r= -0.85, P 〈 0.01）. Conclusion Electro acupuncture at Shenting and Yintang has a certain sedative effect on patients during mechanical ventilation after valve replacement.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2007年第12期1070-1073,共4页
Chinese Journal of Integrated Traditional and Western Medicine
关键词
机械通气
镇静
电针
神庭穴
印堂穴
mechanical ventilation
sedation
electro acupuncture
Shenting point
Yintang
