本文選題：人工流產(chǎn) + 經(jīng)皮穴位電刺激�。� 參考：《中國針灸》2017年02期

【摘要】：目的:觀察經(jīng)皮穴位電刺激(TEAS)不同穴位配伍對(duì)人工流產(chǎn)術(shù)中鎮(zhèn)痛、鎮(zhèn)靜及預(yù)防人工流產(chǎn)綜合征等的臨床效果,探討經(jīng)皮穴位電刺激在人工流產(chǎn)術(shù)中應(yīng)用的最佳穴位配伍方案。方法:選取自愿要求施行人工流產(chǎn)術(shù)的患者200例,隨機(jī)分為Ⅰ組(三陰交+足三里)、Ⅱ組(三陰交+地機(jī))、Ⅲ組(三陰交+太沖)、Ⅳ組(利多卡因?qū)m頸阻滯麻醉)、Ⅴ組(空白對(duì)照,未采取任何止痛措施),每組40例。Ⅰ組、Ⅱ組、Ⅲ組主穴取三陰交,分別配伍足三里、地機(jī)、太沖穴,于術(shù)前30min,行經(jīng)皮穴位電刺激,直至手術(shù)結(jié)束。觀察5組患者手術(shù)過程中的平均動(dòng)脈壓、心率、血氧飽和度等血流動(dòng)力學(xué)參數(shù)和術(shù)中出血量;評(píng)估術(shù)中及術(shù)后30min的視覺模擬疼痛評(píng)分(VAS)和術(shù)中的Ramsay鎮(zhèn)靜評(píng)分;記錄手術(shù)時(shí)的宮頸松弛度、人工流產(chǎn)綜合征的發(fā)生情況。結(jié)果:術(shù)中及術(shù)后30min的VAS評(píng)分、術(shù)中Ramsay評(píng)分:Ⅰ組、Ⅱ組、Ⅲ組、Ⅳ組與Ⅴ組比較差異均有統(tǒng)計(jì)學(xué)意義(P0.01,P0.05),且Ⅱ組均優(yōu)于Ⅰ組、Ⅲ組、Ⅳ組(均P0.05);宮頸松弛度:Ⅱ組優(yōu)于其他各組(P0.01,P0.05);人流綜合征:Ⅱ組、Ⅲ組發(fā)生情況低于Ⅳ組、Ⅴ組(均P0.05)。術(shù)中出血量、血流動(dòng)力學(xué)變化:5組之間差異均無統(tǒng)計(jì)學(xué)意義(均P0.05)。結(jié)論:經(jīng)皮穴位電刺激能明顯降低人工流產(chǎn)術(shù)中及術(shù)后30min的疼痛評(píng)分,并且有很好的鎮(zhèn)靜作用;三陰交+地機(jī)穴位配伍在人工流產(chǎn)術(shù)中鎮(zhèn)痛、鎮(zhèn)靜、擴(kuò)張宮頸及預(yù)防人工流產(chǎn)綜合征效果最佳。
[Abstract]:Objective: to observe the clinical effect of different acupoints compatibility on analgesia, sedation and prevention of induced abortion syndrome during induced abortion, and to explore the best method of acupoint compatibility for percutaneous acupoint electrical stimulation in artificial abortion.Methods: 200 patients who voluntarily requested artificial abortion were selected.They were randomly divided into group 鈪，

本文編號(hào)：1759609