《中国期刊全文数据库》收录期刊
《中国核心期刊（遴选）数据库》收录期刊
《中文科技期刊数据库》收录期刊
外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (1): 39-42.doi: 10.3969/j.issn.2095-378X.2025.01.009

• 论著 • 上一篇    下一篇

腕踝针治疗全麻术后导尿管相关性膀胱刺激征的疗效观察

张国仙, 林跃宏, 徐荣菊, 张国磐   

  1. 泉州市正骨医院重症监护室,福建 泉州 362000
  • 收稿日期:2024-07-29 出版日期:2025-03-28 发布日期:2025-04-09
  • 通讯作者: 张国磐,电子信箱：vitc2010@163.com
  • 作者简介:张国仙（1987—），女，学士，主治医师，从事临床重症监护室工作
  • 基金资助:
    泉州市医疗卫生领域指导性科技计划项目（2023N 035S）

Therapeutic effect of wrist ankle acupuncture on catheter-related bladder discomfort after surgery under general anesthesia

ZHANG Guoxian, LIN Yaohong, XU Rongju, ZHANG Guopan   

  1. Intensive Care Unit, Quanzhou Orthopedic-Traumatological Hospital, Quanzhou 362000, Fujian, China
  • Received:2024-07-29 Online:2025-03-28 Published:2025-04-09

PDF (PC)

44

摘要： 目的　探究腕踝针治疗麻醉苏醒期发生的导尿管相关性膀胱刺激征的疗效。方法　选取2024年1—3月的收治的88例全麻术后导尿管相关性膀胱刺激征（CRBD）患者为研究对象,采用随机数字表法分为3组。A组（30例）接受腕踝针治疗,B组（30例）接受舒芬太尼治疗,C组（28例）接受腕踝针联合舒芬太尼治疗。比较3组不同时间点的CRBD严重程度评级、视觉模拟评分法（VAS）评分,并统计3组不良反应发生率。结果　在入麻醉苏醒室时（T0）,3组CRBD评级对比,差异无统计学意义（P>0.05）;在治疗后1 h（T1）、治疗后6 h（T2）时,3组CRBD评级较T0时均有下降,其中A组、C组较B组下降更明显,差异有统计学意义（P<0.05）,而A组、C组CRBD评级相近,差异无统计学意义（P>0.05）。3组在T1、T2时组内CRBD评级比较,差异无统计学意义（P>0.05）。在T0、T1时,3组VAS评分对比,差异无统计学意义（P>0.05）;T2时,C组VAS评分低于A组、B组,差异有统计学意义（P<0.05）,而B组VAS评分低于A组,差异有统计学意义（P<0.05）;3组在T1、T2时组内VAS评分比较,差异有统计学意义（P<0.05）。C组、B组不良反应发生率相近,差异无统计学意义（P>0.05）,C组、B组不良反应发生率均高于A组,差异均有统计学意义（均P<0.05）。结论　腕踝针治疗可以有效缓解CRBD患者的临床症状,且作用持续时间长,不良反应少。

关键词: 导尿管相关性膀胱刺激征, 腕踝针, 舒芬太尼, 全麻, 不良反应

Abstract: Objective To investigate the therapeutic effect of wrist ankle acupuncture on catheter-related bladder discomfort （CRBD） during anesthesia recovery period. Methods A study was conducted on 88 patients with CRBD after surgery under general anesthesia who were admitted from January 2024 to March 2024. They were randomly divided into three groups： A, B, and C by random number table method. Respectively, 30 cases in Group A received wrist ankle acupuncture treatment, 30 cases in Group B received sufentanil treatment, and 28 cases in Group C received wrist ankle acupuncture combined with sufentanil treatment. The severity rating of CRBD and visual analogue scale （VAS） scores were compared among the three groups at different time points, and the incidence rates of adverse reactions were calculated. Results At the time of entering the anesthesia recovery room （T0）, there was no significant difference in CRBD rating among the three groups （P>0.05）. At 1 h （T1） and 6 h （T2） after treatment, the CRBD ratings of the three groups decreased compared to T0; among them, Group A and Group C showed a more significant decrease than Group B （P<0.05）. However, the CRBD ratings of Group A and Group C were similar, with no significant difference （P>0.05）. There was no significant difference in CRBD ratings among the three groups at T1 and T2 （P>0.05）. At T0 and T1, there was no significant difference in VAS scores among the three groups （P>0.05）. At T2, the VAS score of Group C was lower than those of Group A and Group B （P<0.05）, while the VAS score of Group B was lower than that of Group A （P<0.05）. The VAS scores were different of the three groups between T1 and T2 （P<0.05）. The incidence rates of adverse reactions in Group C and Group B were similar, with no significant difference （P>0.05）. The incidence rates of adverse reactions in Group C and Group B were higher than that in Group A （P<0.05）. Conclusion Wrist ankle acupuncture treatment can effectively alleviate the clinical symptoms of CRBD patients, with a long duration of action and few adverse reactions.

Key words: Catheter-related bladder discomfort, Wrist ankle acupuncture, Sufentanil, General anesthesia, Adverse reaction

中图分类号: