低频电刺激可缓解妇科开腹手术术后疼痛及促进胃肠功能恢复

doi:10.16352/j.issn.1001-6325.2024.02.0252

基础医学与临床 ›› 2024, Vol. 44 ›› Issue (2): 252-255.doi: 10.16352/j.issn.1001-6325.2024.02.0252

低频电刺激可缓解妇科开腹手术术后疼痛及促进胃肠功能恢复

杨雅静¹, 朱维培², 周留林^1*

1.蚌埠医学院泰兴临床学院妇产科,江苏泰兴 225400;
2.苏州大学附属第二医院妇产科,江苏苏州 215000

收稿日期:2023-02-09 修回日期:2023-11-24 发布日期:2024-02-05
通讯作者: ^*Taizhoull900@126.com
基金资助:
国家卫生健康委医药卫生科技发展研究中心项目(HDSL202004004)

Low-frequency electrical stimulation relieves pain and promotes gastrointestinal function recovery after gynecological laparotomy

YANG Yajing¹, ZHU Weipei², ZHOU Liulin^1*

1. Department of Gynaecology and Obstetrics, Taixing Clinical College, Bengbu Medical College, Taixing 225400;
2. Department of Gynaecology and Obstetrics,the Second Affiliated Hospital of Suzhou University, Suzhou 215000, China

Received:2023-02-09 Revised:2023-11-24 Published:2024-02-05
Contact: ^*Taizhoull900@126.com

摘要/Abstract

摘要： 目的观察低频电刺激对妇科腹部手术后患者康复的影响。方法选择2021年6月至2022年7月间,在蚌埠医学院泰兴临床学院妇产科进行开腹手术的患者63例。将患者随机分成对照组31例和低频电刺激组32例。低频电刺激组予以患者可耐受范围内进行刺激,每日1次,每次30 min,每次刺激强度需重新测定。对照组选取相同穴位处粘贴电极片,连接治疗仪,但不给予电流刺激。30 min后去除电极片。采用视觉模拟评分法(VAS)记录术后评分、手术结束至首次排气排便的时间。结果术后48 h VAS评分,低频电刺激组(3.6±1.2)vs.对照组(4.5±1.4),疼痛程度降低(P＜0.05);术后72 h VAS评分,低频电刺激组(1.7±0.9)vs.对照组(3.3±1.4),疼痛程度降低(P＜0.01)。首次排气时间(26.9±6.7)h vs.(35.5±13.0)h低频电刺激组相对对照组时间短(P＜0.05);首次排便时间(49.0±5.4)h vs.(64.4±13.8)h低频电刺激组相比对照组时间短(P＜0.05)。结论低频电生理刺激能减轻妇科开腹手术患者术后疼痛;促使患者术后首次排气、排便时间缩短。

关键词: 低频电刺激, 围手术期, 开腹手术, 快速康复

Abstract: Objective To observe the effect of low-frequency electrical stimulation on the rehabilitation of patients after gynecological abdominal surgery. Methods Sixty-three patients who underwent open surgery in gynecology department of Taixing Clinical College of Bengbu Medical College from June 2021 to July 2022 were selected. The patients were randomly divided into control group (31 cases) and a low-frequency electrical stimulation group (32 cases). The low-frequency electrical stimulation group was subjected to stimulation within the patient's tolerable range once a day for 30 minutes each time, and the intensity of each stimulation was adjusted based on clinical situation. The control group selected the same acupoints and pasted electrodes, connected to the treatment device but no electrical stimulation. The electrode strip was removed after 30 minutes,then record the postoperative Visual Analog Scale (VAS) score as well as the time from the end of the surgery to the first discharge and defecation. Results The VAS score at 48 hours after surgery showed a low degree of pain in the low-frequency electrical stimulation group (3.6±1.2) compared to that in control group (4.5±1.4); After 72 hours of surgery, the VAS score was lower in the low-frequency electrical stimulation group (1.7±0.9) compared to the control group (3.3±1.4), indicating a lower degree of pain. The first exhaust time (26.9±6.7)h vs. (35.5±13.0)h was shorter in the low-frequency electrical stimulation group; The first bowel movement time (49.0±5.4)h vs. (64.4±13.8)h was shorter in the low-frequency electrical stimulation group compared to the control group. Conclusions Low frequency electro-physiological stimulation can alleviate post-operative pain and shorten exhaust and defecation time in patients undergoing gynecological open surgery.

Key words: low frequency electrical stimulation, perioperative period, abdominal surgery, enhanced recovery

中图分类号:

杨雅静, 朱维培, 周留林. 低频电刺激可缓解妇科开腹手术术后疼痛及促进胃肠功能恢复[J]. 基础医学与临床, 2024, 44(2): 252-255.

YANG Yajing, ZHU Weipei, ZHOU Liulin. Low-frequency electrical stimulation relieves pain and promotes gastrointestinal function recovery after gynecological laparotomy[J]. Basic & Clinical Medicine, 2024, 44(2): 252-255.

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低频电刺激可缓解妇科开腹手术术后疼痛及促进胃肠功能恢复

Low-frequency electrical stimulation relieves pain and promotes gastrointestinal function recovery after gynecological laparotomy

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