摘要
目的:观察腕踝针联合静脉自控镇痛泵(patient controlled intravenous analgesia,PCIA)和单纯PCIA治疗异位妊娠腹腔镜术后疼痛的临床疗效差异。方法:将符合该试验标准的98例患者按照随机数字表法分为观察组和对照组,每组49例。两组均采用了全身静吸复合麻醉,对照组仅采用PCIA术后镇痛,观察组采用腕踝针双侧踝部1、2区联合PCIA治疗。分别于手术后1 h、2 h、6 h、12 h、24 h、36 h、48 h采用视觉模拟量表(visual analogue scale,VAS)对两组患者切口疼痛情况进行评分,并比较两组镇痛总有效率及术后48 h内不良反应的发生率。结果:观察组手术后6 h、12 h、24 h切口痛VAS评分低于对照组(均P<0.01),其余时间点两组评分差异均无统计学意义(均P>0.05)。观察组总有效率为98.0%(48/49),对照组总有效率为83.7%(41/49),差异有统计学意义(P<0.05)。观察组不良反应发生率为12.2%(6/49),对照组为69.4%(34/49),差异有统计学意义(P<0.01)。结论:腕踝针配合PCIA能有效缓解腹腔镜探查术后疼痛,降低术后不良反应发生率。
Objective To observe the effect difference between wrist-ankle needle therapy combined with patient controlled intravenous analgesia（PCIA） and simple PCIA for pain after laparoscopic surgery for eccyesis. Methods Ninety-eight patients were assigned into an observation group and a control group by random number table, 49 cases in each one.General static inhalation combined anesthesia was used in the two groups. Simple PCIA for pain was applied in the control group. Wrist-ankle needle therapy at bilateral ankle area 1 and 2 combined with PCIA were implemented in the observation group. The pain state of cut was recorded by visual analogue scale（VAS） 1 h, 2 h, 6 h, 12 h, 24 h, 36 h and 48 h after surgery. The total effective rates and adverse reaction rates within 48 h after surgery were compared between the two groups. Results The VAS scores 6 h, 12 h and 24 h after surgery in the observation group were lower than those in the control group（all P0.01）, and the scores in the other time points were not statistically different（all P0.05）. The total effective rate of the observation group was 98.0%（48/49）, which was better than 83.7%（41/49） of the control group（P0.05）. The adverse reaction rate of the observation group was 12.2%（6/49）, and that of the control group was 69.4%（34/49）, with statistical difference（P0.01）. Conclusion Wrist-ankle needle therapy combined with PCIA can effectively relieve pain after laparoscopic surgery for eccyesis, and reduce adverse reaction rate after surgery.
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第11期1173-1176,共4页
Chinese Acupuncture & Moxibustion
关键词
异位妊娠
腹腔镜术后
腕踝针
静脉自控镇痛泵
eccyesis, post laparoscopic surgery
wrist-ankle needle therapy
patient controlled intravenous analgesia（PCIA）
