摘要
目的探讨经皮穴位电刺激对围气管插管期脑电双频指数（BIS）值及应激的影响。方法40例择期腹部手术病人,随机分为穴位电刺激组（A组）和对照组（B组）,各20例。A组静脉诱导前先电刺激双侧内关、曲池穴30 min,然后两组采用相同的麻醉诱导。于入室后（T0）、气管插管前即刻（T1）及气管插管后1 min（T2）、3 min（T3）、5 min（T4）分别记录各时间点的平均动脉压（MAP）、心率（HR）、BIS。同时,取动脉血检测皮质醇、血糖水平。结果A组T2、T3、T4与T1时间点BIS值比较无统计意义（P〉0.05）,B组T2、T3与T1时间点BIS值比较显著升高（F=53.82,P〈0.01）;A组与B组插管后MAP、HR、皮质醇均显著升高（F=12.4-51.1,P〈0.01）,两组间T2、T3、T4相同时间点比较差异有显著性（t=5.37-6.22,P〈0.01）。结论经皮穴位电刺激能抑制气管插管引起的BIS值变化及减轻应激反应。
Objective To study the effect of transcutaneous electrical acupoint stimulation （TEAS） on bispectral index （BIS） and stress reaction in patients receive tracheal intubation. Methods Forty patients undergoing selective epigastric surgery were evenly randomized to two groups： group A and group B （control group）. In group A, electrical stimulation （ES） on bilateral Neiguan and Quchi acupoints was performed 30 rain before intravenous induction, the modality of anesthesia induction was identical for both groups. Mean arterial pressure （MAP）, heart rate （HR）, BIS, and blood cortisol and glucose were measured at entering the operation room （TO）, immediately before tracheal intubation （T1）, and 1 min （T2）, 3 min （T3）, 5 min （T4） after intubation. Results The BIS of group A had no significant changes at T2, T3, T4 compared with T1 （P〉0.05）, but BIS of group B was significantly higher at T2, T3 than at T1 （F=53.82,P〈0.01）. The MAP, HR, and serum cortisol of groups A and B were significantly higher after the intubation （F= 12.4- 51.1, P〈0.01）, the differences at the same time points of T2, T3, and T4 of were significant （t=5.37-6.22,P〈0.01）. Conclusion TEAS can restrain the changes of BIS and reduce stress reaction caused by tracheal intubation.
出处
《青岛大学医学院学报》
CAS
2009年第4期374-376,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
经皮穴位电刺激
针刺
BIS
应激反应
Transcutaneous electrical acupoint stimulation
Acupuncture
BIS
Stress response
