摘要
目的探讨揿针干预对全麻气管插管围手术期血流动力学影响及对自主神经功能影响的临床研究。方法选取该院收治的全麻插管患者100例,随机分为两组各50例。对照组给予常规麻醉方法,治疗组在对照组基础上给予揿针干预疗法,对比两组手术时间、麻醉时间、拔管时间及苏醒时间及在麻醉诱导前(T0)、诱导插管(T1)、术中(T2)、术毕苏醒(T3)血流动力学指标、自主神经功能及应激激素水平变化。结果两组手术时间、麻醉时间差异无统计学意义(P>0.05);治疗组拔管时间及苏醒时间明显低于对照组(P<0.05)。在T0两组SBP、DBP和HR值差异无统计学意义(P>0.05);在T1、T2、T3治疗组SBP、DBP和HR值明显优于对照组(P<0.05);在T0两组HF、LF和LF/HF值差异无统计学意义(P>0.05);在T1、T2、T3治疗组HF、LF和LF/HF值明显优于对照组(P<0.05);在T0两组血清ACTH、NE和COR水平差异无统计学意义(P>0.05);在T1、T2、T3治疗组血清ACTH、NE和COR水平明显优于对照组(P<0.05)。结论采用揿针干预用于全麻气管插管有助于稳定围手术期血流动力学和改善自主神经功能,缓解全身麻醉诱导及苏醒期的应激反应。
Objective To investigate the effect of press-needle intervention on hemodynamics and autonomic nerve function during endotracheal intubation under general anesthesia.Methods A total of 100 cases of general anesthesia intubation patients admitted to the hospital were randomly divided into two groups,50 cases in each.The control group was given routine anesthesia method and the treatment group used the press-needle on the basis of intervention therapy in the control group.The operation time,anesthesia time,extubation time,recovery time,hemodynamic indexes,autonomic nerve function and stress hormone levels before anesthesia induction(T0),during the induction intubation(T1),during the operative(T2)and after operation(T3)were compared between the two groups.Results There was no significant difference in operation time or anesthesia time between the two groups(P>0.05).The extubation time and wake time in the treatment group were significantly lower than those in the control group(P<0.05).There was no difference in systolic blood pressure(SBP),diastolic blood pressure(DBP)or heart rate(HR)at T0 between two groups(P>0.05).The levels of SBP,DBP and HR at T1,T2 and T3 in the treatment group were significantly better than those in the control group(P<0.05).There was no difference in the values of high frequency(HF),low frequency(LF)and LF/HF at T0 between two groups(P>0.05).The values of HF,LF and LF/HF at T1,T2 and T3 in the treatment group were significantly better than those in the control group(P<0.05).There was no difference in serum levels of adrenocorticotropic hormone(ACTH),norepinephrine(NE)or cortisol(COR)at T0 between two groups(P>0.05).The serum levels of ACTH,NE and COR at T1,T2 and T3 in the treatment group were significantly better than those in the control group(P<0.05).Conclusion It is helpful to stabilize the perioperative hemodynamics,improve the autonomic nerve function and relieve the stress response during the induction of general anesthesia.
作者
何涛
杨丽
徐哲
HE Tao;YANG Li;XU Zhe(Department of Anesthesiology,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,Hebei,China)
出处
《辽宁中医杂志》
CAS
2022年第5期158-161,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
河北省中医药管理局科研计划项目(2019032)
河北中医学院科研能力一般项目(KTY2019023)
关键词
揿针干预
全麻气管插管
围手术期血流动力学
自主神经功能
临床研究
press-needle intervention
tracheal intubation under general anesthesia
perioperative hemodynamics
autonomic nervous function
clinical research
