| 肛肠手术行穴位经皮刺激复合药物麻醉的抗应激及镇痛效应研究 |
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| 引用本文： | 林玉芳,李寅,万钰茜,陈梁,杨巍,马文,沈卫东. 肛肠手术行穴位经皮刺激复合药物麻醉的抗应激及镇痛效应研究[J]. 上海中医药大学学报, 2015, 29(4): 30-33 |
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| 作者姓名： | 林玉芳 李寅 万钰茜 陈梁 杨巍 马文 沈卫东 |
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| 作者单位： | 上海中医药大学研究生院上海201203 ;上海中医药大学附属曙光医院针灸科上海201203,上海中医药大学附属曙光医院针灸科上海201203,上海中医药大学研究生院上海201203 ;上海中医药大学附属曙光医院针灸科上海201203,上海中医药大学研究生院上海201203 ;上海中医药大学附属曙光医院针灸科上海201203,上海中医药大学附属曙光医院肛肠科上海201203,上海中医药大学附属曙光医院针灸科上海201203,上海中医药大学附属曙光医院针灸科上海201203 |
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| 基金项目： | 上海市科委科研计划资助项目(12401903204) |
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| 摘 要： | 目的:探讨肛肠手术行穴位经皮刺激复合药物麻醉的抗应激效应及术后镇痛效应。方法:纳入70例肛肠疾病行肛肠手术的患者,随机分为治疗组和对照组,每组35例。治疗组采用穴位经皮刺激复合药物麻醉,对照组采用常规药物麻醉。术后采用疼痛语言评价量表(VRS)评定患者的疼痛程度;手术前后收集患者的唾液样本,检测患者的唾液皮质醇和α淀粉酶水平。结果:术后2 h,治疗组患者的疼痛评分明显低于对照组(P0.05);术后24 h,两组患者的疼痛评分比较,差异无统计学意义(P0.05)。手术后,对照组患者的唾液皮质醇水平有所升高(P0.05),且两组患者的唾液皮质醇手术前后差值比较,差异有统计学意义(P0.05)。手术前后两组患者的唾液α淀粉酶水平的组内及组间比较,差异均无统计学意义(P0.05)。结论:穴位经皮刺激复合药物麻醉较常规药物麻醉可缓解肛肠手术患者的术后疼痛,降低患者的应激水平。
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| 关 键 词： | 穴位经皮刺激 应激 镇痛 肛肠手术 |
| 收稿时间： | 2015-03-06 |
Research on Anti-stress Effect and Analgesic Effect of Transcutaneous Acupoint Stimulation Combined with Drug Anesthesia during Anorectal Operation |
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| LIN Yu-fang,LI Yin,WAN Yu-xi,CHEN Liang,Yang wei,MA Wen and SHEN Wei-dong. Research on Anti-stress Effect and Analgesic Effect of Transcutaneous Acupoint Stimulation Combined with Drug Anesthesia during Anorectal Operation[J]. Acta Universitatis Traditionis Medicalis Sinensis Pharmacologiaeque Shanghai, 2015, 29(4): 30-33 |
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| Authors: | LIN Yu-fang LI Yin WAN Yu-xi CHEN Liang Yang wei MA Wen SHEN Wei-dong |
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| Affiliation: | Shanghai University of Traditional Chinese Medicine ;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine ;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine ;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine ;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine and Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Abstract: | |
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| Keywords: | transcutaneous acupoint stimulation stress analgesia anorectal operation |
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