| 摘要: |
| 目的：观察经皮电刺激足三里穴和内关穴对腹腔镜下肠癌根治术患者手术后康复情况的影响。方法：选择择期行腹腔镜下肠癌根治手术的患者50 例，随机分为2 组，研究组24 例（其中1 例未能完成全部试验），对照组25 例；2 组麻醉方案相同，研究组手术前30 min 及术后第1 天、第2 天给予经皮电刺激足三里穴、内关穴治疗，对照组操作同研究组，但不开启电源；记录2 组患者手术时间、出血量、复苏室停留时间、肛门首次排气时间、有无术后非切口痛（肩痛、背痛、肋间肌疼痛等）、术后（4 h、12 h、24 h、48 h） 切口疼痛视觉模拟评分法（VAS） 评分，以及有无术后恶心呕吐（PONV）。结果：治疗后，研究组患者首次排气时间明显短于对照组，差异有统计学意义（P＜0.05）；而2 组患者手术时间、复苏室停留时间及出血量比较，差异无统计学意义（P＞0.05）。术后第1 天、第2 天，研究组无PONV 的病例明显多于对照组，差异均有统计学意义（P＜0.05）。经皮穴位电刺激干预后，研究组没出现非切口疼痛的病例明显多于对照组，差异有统计学意义（P＜0.05）。术后24 h、48 h，研究组疼痛VAS 评分较同组前一时间点明显下降，差异有统计学意义（P＜0.05）；且研究组VAS 评分明显低于对照组同时间点（P＜0.05）。结论：经皮电刺激足三里穴和内关穴可明显改善腹腔镜下肠癌根治术患者术后的镇痛效果，减少术后非切口痛的发生，改善术后恶心呕吐，提早排气时间，对加速术后康复有一定的促进作用。 |
| 关键词: 腹腔镜下肠癌根治术 加速康复外科 经皮穴位电刺激 辅助麻醉 |
| DOI： |
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| 基金项目:广东省中医药局科研项目（20181098）；广东省科技计划项目（20160226） |
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| Application of Transcutaneous Electrical Point Stimulation Combined with Anesthesiato Patients After Laparoscopic Radical Resection for Colorectal Cancer in EnhancedRecovery after Surgery |
| CAI Qingxiang,ZHAO Min,LI Yuhui,HUANG Yankui,LI Feng,ZHANG Guangfang |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Objective：To observe the effect of transcutaneous electrical stimulation at Zusanli(ST 36) and Neiguan(PC 6)
on rehabilitation of patients after radical resection for colorectal cancer under laparoscopy. Methods： A total of 50 cases of
patients undergoing elective radical resection for colorectal cancer under laparoscopy were randomly divided into the study
group and the control group， 24 and 25 cases in each group respectively. One case of patient in the study group did not
complete all the experimental observation. Both groups had the same anesthesia scheme.， Transcutaneous electrical
stimulation at Zusanli(ST 36) and Neiguan(PC 6) was conducted in the study group 30 minutes before surgery as well as on the
1st and 2nd days after surgery；the control group shared the same operation with that in the study group，but the power of
the stimulation was off. The surgery time，bleeding volume，the stay time in post anesthesia care unit，the time of first anal
exsufflation，postoperative non- incision pain such as shoulder pain，backache，and pain in intercostal muscle，scores of
Visual Analogue Scale(VAS) for evaluating incision pain on the 4th，12th，24th，and 48th hours after surgery，and postoperative
nausea and vomiting(PONV) were recorded in the two groups. Results：After treatment，the time of first exsufflation in the
study group was significantly shorter than that in the control group， the difference being significant(P＜0.05)； when
compared the surgery time，the stay time in post anesthesia care unit，and bleeding volume between the two groups，there was no significance in the difference(P＞0.05). On the 1st and 2nd days after surgery，the cases without PONV in the study
group were significantly more than those in the control group， differences being significant(P＜0.05). After TEAS
intervention，the cases without non-incision pain in the study group were significantly more than those in the control group，
the difference being significant(P＜0.05). In the 24th and 48th hours after surgery， the VAS scores for evaluating pain in the
study group were significantly decreased when compared with those at the previous time point in the same group， the
difference being significant(P＜0.05)； the VAS score in the study group was significantly lower than that at the same time
point in the control group(P＜0.05). Conclusion：Transcutaneous electrical stimulation at Zusanli(ST 36) and Neiguan(PC 6) can
significantly improve postoperative analgesia effect on patients after radical resection for colorectal cancer under laparoscopy，
reduce the occurrence of postoperative non-incision pain，relieve postoperative nausea and vomiting and shorten exsufflation
time，which has certain promoting effect on accelerating postoperative rehabilitation. |
| Key words: Keywords：Radical resection for colorectal cancer under laparoscopy Enhanced recovery after surgery Transcutaneous
electrical point stimulation Assisted anesthesia |
