| 王冬冬,马婷婷,周程,朱华东.经皮穴位电刺激治疗老年患者全麻腹部手术后认知功能障碍的研究[J].浙江中西医结合杂志,2016,26(8): |
| 经皮穴位电刺激治疗老年患者全麻腹部手术后认知功能障碍的研究 |
| Effect of Transcutaneous Electrical Acupoint Stimulation on Postoperative Cognitive Function in Elderly Patients With General Anesthesia Undergoing Abdominal Surgery |
| 投稿时间：2016-01-14 修订日期：2016-03-03 |
| DOI： |
| 中文关键词: 老年患者 全身麻醉 认知障碍 电刺激疗法 |
| 英文关键词:Elderly General anesthesia Cognition disorders Electric stimulation therapy |
| 基金项目:浙江省中医药科学研究(2015ZB011) |
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| 中文摘要: |
| 目的 探讨经皮穴位电刺激(TEAS)治疗老年患者全麻腹部手术后认知功能障碍的研究。方法 择期在全麻下行腹部手术(手术类型主要为腹腔镜下胃癌根治术、直结肠癌根治术等)的老年患者60例, 美国麻醉医师协会(ASA)分级Ⅰ～Ⅱ级,采用随机数字表法分为对照组和TEAS组,各30例。两组患者均采用单纯静脉全身麻醉,TEAS组患者麻醉诱导前30min至术毕加用TEAS进行干预,分别记录两组患者麻醉前1天及术后第1、3、7天简易智能精神状态检测量表(MMSE)评分,比较术后第1、3、7天术后认知功能障碍(POCD)发生率。结果 TEAS组患者术后第1、3天POCD发生率明显低于对照组同期(分别为26.7% vs53.3%,20.0%vs46.7%),差异有统计学意义(P<0.05)。两组患者麻醉前MMSE评分比较,差异无统计学意义(P＞0.05)；术后第1、3天TEAS组评分高于对照组(分别为23.7±3.2vs20.4±5.1,25.6±2.2vs22.6±3.0),差异有统计学意义(P<0.05)。结论 老年患者全麻腹部手术术中TEAS干预,可以有效预防POCD的发生。 |
| 英文摘要: |
| Objective To observe the effect of transcutaneous electrical acupoint stimulation(TEAS) on postoperative cognitive function in elderly patients with general anesthesia undergoing abdominal surgery. Methods Sixty elderly patients undergoing abdominal surgery and American Society of AnesthesiologyⅠ～Ⅱ were randomly divided into TEAS group (group E,30 cases) and control group (group C,30 cases) by random number table method . Simple intravenous general anesthesia were selected for patients of two groups,group E were continually treated With TEAS from 30min before anesthesia induction the end of operation. The scores of mini-mental state examination (MMSE) were recorded in the groups 1day before anesthesia , and1,3,7days after operation. The occurrence of postoperative cognitive dysfunction(POCD) on day 1 , 3 , and 7 was compared. Results The occurrence of POCD on day 1, 3 was obviously lower in Group E than in Group C at the same time period(26.7% versus 53.3%,20.0% versus 46.7%),showing statistical difference(P |
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