摘要
目的观察术前应用经皮穴位电刺激对无痛胃镜麻醉误吸风险的影响。方法选择2021年8月-2022年7月在广州中医药大学深圳医院(福田)于全麻下行无痛胃镜检查患者90例为研究对象,根据随机数字表法分为对照组45例和试验组45例,对照组在术前30min口服50ml链霉蛋白酶颗粒并在术前10min口服10ml达克罗宁胶浆,试验组在此基础上于术前30min口服50ml链霉蛋白酶颗粒后予经皮穴位电刺激20min,观察两组患者口服10ml达克罗宁胶浆后超声下右侧卧位胃窦部横截面积(antral cross-sectional area,CSA)、胃容积(gastric volume,GV),GV/W(胃容积/体重)、胃镜检查中胃液吸引量和胃液pH及不良反应。结果试验组与对照组比较:CSA(4.56±0.97)cm^(2) vs(6.01±1.14)cm^(2),GV(39.86±18.62)ml vs(47.53±20.47)ml,GV/W(0.76±0.41)ml/kg vs(0.97±0.33)ml/kg;胃镜吸引的胃液容量(22.47±13.81)ml vs(27.19±15.46)ml,差异均具有统计学意义(P<0.05);试验组不良反应的发生率相对于对照组明显降低(6.67%vs22.20%),差异具有统计学意义(P<0.05);两组胃液pH相差不大(2.36±1.14)vs(2.41±1.19),差异无统计学意义(P>0.05)。结论无痛胃镜检查术前应用经皮穴位电刺激能有效促进胃排空减少胃容积,降低误吸风险,同时可减少无痛胃镜术后不良反应的发生,从而提高患者舒适度,有利于患者整体康复。
Objective To observe the effect of preoperative application of percutaneous acupoint electrical stimulation on aspiration risk under painless gastroscopy.Methods A total of 90 patients undergoing painless gastroscopy under general anesthesia in Shenzhen Hospital of Guangzhou University of Traditional Chinese Medicine(Futian)from August 2021 to July 2022 were selected as the study objects.They were divided into control group(45 cases)and observation group(45 cases)according to random number table method.The control group was given oral administration of 50ml Streptomycin granules 30min before surgery and 10ml dachronine jelly 10min before surgery,and the experimental group was given percutaneous acupoint electrical stimulation 30min before surgery for 20min.On this basis,both groups were observed after oral administration of 10ml of dacronine jelly of the cross-sectional area of the right lateral gastric antrum(antral cross-sectional area,CSA),gastric volume(gastric volume,GV),GV/W(gastric volume/body weight),gastric fluid suction,pH and adverse reactions.Results Comparison between the experimental group and the control group:CSA(4.56±0.97)cm^(2) vs(6.01±1.14)cm^(2),GV(39.86±18.62)ml vs(47.53±20.47)ml,GV/W(0.76±0.41)ml/kg vs(0.97±0.33)ml/kg,the volume of gastric juice extracted by gastroscopy(22.47±13.81)ml vs(27.19±15.46)ml,and the differences were statistically significant(P<0.05),and the incidence of adverse reactions in experimental group was significantly lower than that in control group(6.67%vs 22.20%),with statistical significance(P<0.05).There was no significant difference in gastric fluid pH between the two groups(2.36±1.14)vs(2.41±1.19)(P>0.05).Conclusion The application of percutaneous acupoint electrical stimulation before painless gastroscopy can effectively promote gastric emptance and reduce the stomach volume,reduce the risk of aspiration,and reduce the occurrence of adverse reactions after painless gastroscopy,so as to improve the comfort level of patients and contribute to the overall recovery of patients.
作者
翟美琴
刘旭东
李国才
Zhai Meiqin;Liu Xudong;Li Guocai(Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen,Guangdong 518000,China;Futian District Second People’s Hospital,Shenzhen,Guangdong 518000,China)
出处
《首都食品与医药》
2024年第19期160-162,共3页
Capital Food Medicine
基金
广东省深圳市福田区卫生公益性科研项目(编号:FTWS2021072)。
关键词
经皮穴位电刺激
胃窦部超声
胃容积
误吸
transcutaneous electrical acupoint stimulation
Antral ultrasound
gastric volume
aspiration
