陆斌 王麒 丁玲玲

    [摘要] 目的 探讨经皮穴位电刺激在提高腹腔镜胆囊切除术(LC)患者術后早期恢复质量的临床效果。 方法 选取2016年1月～2018年10月首都医科大学附属北京中医医院收治的LC患者93例为研究对象，根据随机数字表法分为对照组(46例)和研究组(47例)。对照组行LC术时给予右美托咪定，研究组行LC术时给予经皮穴位电刺激联合右美托咪定，比较两组麻醉前(T1)、插管5 min后(T2)、气腹建立5 min后(T3)、气腹建立15 min后(T4)、术毕(T5)时的心率(HR)、平均动脉压(MAP)；比较两组患者T1、T5、术后1 d(T6)的白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、神经元特异性烯醇化酶(NSE)以及超氧化物歧化酶(SOD)水平；比较两组术后谵妄分级量表评分、镇静评分、视觉模拟评分(VAS)以及舒适度评分，记录两组治疗期间不良反应发生情况。 结果 对照组HR、MAP在T2～T5均高于T1(P 0.05)，研究组HR、MAP在T2～T5显著低于同期对照组(P 0.05)，研究组术后谵妄分级量表评分低于对照组，镇静评分高于对照组(P 0.05)。 结论 LC术中应用经皮穴位电刺激，可维持血流动力学稳定，改善血清SOD、NSE、IL-6、TNF-α水平，且不增加不良反应发生率，有效改善患者早期恢复效果。

    [关键词] 经皮穴位；电刺激；腹腔镜胆囊切除术；术后；早期恢复；临床应用

    [中图分类号] R246.2 [文献标识码] A [文章编号] 1673-7210(2019)05(a)-0112-05

    Effect of transcutaneous acupoint electrical stimulation on early recovery quality of patients after laparoscopic cholecystectomy

    LU Bin WANG Qi DING Lingling

    Department of Anesthesia， Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University， Beijing 100010， China

    [Abstract] Objective To explore the clinical application of transcutaneous acupoint electrical stimulation in improving the early recovery quality of patients after laparoscopic cholecystectomy (LC). Methods A total of 93 patients with LC admitted to Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University from January 2016 to October 2018 were selected as the study objects. They were divided into control group (46 cases) and research group (47 cases) according to random number table method. The control group was given Dexmedetomidine during LC ......