腕踝针在老年无痛胃镜检查中对丙泊酚用量的影响*

Effects of wrist-ankle acupuncture on Propofol dosage in painless gastroscopy in elderly patients*

摘要:

探讨腕踝针灸法对老年患者无痛胃镜检查中丙泊酚用量的影响。方法?收集胃镜检查患者120例，年龄70～85岁，美国麻醉医师协会（ASA）分级Ⅱ级或病情稳定Ⅲ级，按随机数字表法分为对照组和腕踝针组，各60例。腕踝针组入室前在相应区域穿刺留针，入室后两组静脉给予纳布啡0.1 mg/kg，静脉靶控输注丙泊酚，待睫毛反应消失、呼之不应时进行胃镜操作，根据术中体动情况，酌情追加丙泊酚。记录丙泊酚总用量、胃镜操作时间、唤醒时间、离室时间、呼吸抑制、低血压和恶心呕吐等不良反应情况。结果?腕踝针组丙泊酚用量、唤醒时间和离室时间明显低于对照组（P <0.05），呼吸抑制、低血压和术后恶心呕吐的发生率低于对照组（P <0.05）。结论?腕踝针在丙泊酚无痛胃镜检查中，可有效减少丙泊酚用量，降低不良反应，缩短恢复时间。

Abstract:

To investigate the effect of wrist and ankle acupuncture on Propofol dosage in painless gastroscopy. Methods 120 cases of patients, aged 70 ~ 85, ASA Ⅱ and stable condition ASA Ⅲ. According to the random number table, the patients were divided into the control group and the wrist-ankle acupuncture group, with 60 cases in the control group and 60 cases in the experimental group. The wrist and ankle acupuncture group received puncture and needle retention in the corresponding area before entering the room. After entering the room, the two groups were given intravenous nalbuphine 0.1 mg/kg, and the targeted intravenous infusion of Propofol was carried out gastroscopic operation when the eyelash reaction disappeared and the breath was inappropriate. Propofol was added as appropriate according to the intraoperative body movement. The total amount of Propofol, the operation time of gastroscopy, the time of waking up, the time of leaving the room, respiratory depression, hypotension, nausea and vomiting and other adverse reactions were recorded. Results The dosage of Propofol, time of waking up and time of leaving the room in the wrist and ankle acupuncture group were significantly lower than those in the control group (P < 0.05), and the incidence of respiratory depression, hypotension and postoperative nausea and vomiting was lower than those in the control group (P < 0.05). Conclusion Wrist and ankle acupuncture can effectively reduce the dosage of Propofol, reduce adverse reactions and shorten the recovery time in painless gastroscopy of Propofol.