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[Effect of transcutaneous acupoint electrical stimulation at Neiguan (PC 6) on general anesthesia under preserving spontaneous breathing in thoracoscopic lobectomy].
Ding, Yi; Su, Sheng-Yong; Lin, Ya-Li; Wei, Yi-Tong; Shi, Jun-Dan; Gao, Si-Li; Zhuo, Jin-Yi; Cai, Yuan-Chun.
Afiliación
  • Ding Y; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Su SY; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Lin YL; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Wei YT; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Shi JD; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Gao SL; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Zhuo JY; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
  • Cai YC; Department of Anesthesiology, First Affiliated Hospital of Guangxi University of CM, Nanning 530023, China.
Zhongguo Zhen Jiu ; 43(3): 282-6, 2023 Mar 12.
Article en Zh | MEDLINE | ID: mdl-36858389
OBJECTIVE: To evaluate the effect of transcutaneous acupoint electrical stimulation (TEAS) at Neiguan (PC 6) on general anesthesia under preserving spontaneous breathing in thoracoscopic lobectomy. METHODS: A total of 66 patients of primary lung cancer undergoing thoracoscopic lobectomy were divided to an observation group (33 cases, 1 case discontinued) and a control group (33 cases). In the observation group, TEAS at Neiguan (PC 6) was used 30 min before anesthesia induction till the end of surgery. The surgery time, maximum value of partial pressure of end-tidal carbon dioxide (PETCO2) and minimum value of oxygen saturation (SpO2) of the two groups were recorded. The dosage of propofol, sufentanil, remifentanil and dexmedetomidine were analyzed. Separately, before induction (T0), at the start of surgery (T1), thoracic exploration (T2) and lobectomy (T3), as well as 30 min (T4) and 60 min (T5) after lobectomy, the mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR), serum cortisol (Cor) and norepinephrine (NE) were measured. The time of post anesthesia care unit (PACU) stay, ambulation, flatus, chest drainage and the incidence of nausea and vomiting were compared between the two groups. RESULTS: The maximum value of PETCO2, the dosage of propofol and remifentanil in the observation group were lower than those in the control group (P < 0.05, P < 0.01), the minimum value of SpO2 in the observation group was higher than that of the control group (P < 0.01). At T1-T5, the MAP, HR, serum Cor and NE levels in the observation group were all lower than those in the control group (P < 0.05). The ambulation time, the time for the flatus, chest drainage time, and the incidence of nausea and vomiting in the observation group were all lower than those in the control group (P<0.001, P < 0.01). CONCLUSION: For the general anesthesia under preserving spontaneous breathing in thoracoscopic surgery, TEAS at Neiguan (PC 6) relieves stress response, reduces opioids dosage and promotes postoperative recovery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puntos de Acupuntura / Propofol Límite: Humans Idioma: Zh Revista: Zhongguo Zhen Jiu Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2023 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puntos de Acupuntura / Propofol Límite: Humans Idioma: Zh Revista: Zhongguo Zhen Jiu Asunto de la revista: TERAPIAS COMPLEMENTARES Año: 2023 Tipo del documento: Article País de afiliación: China
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