通讯作者: 黄琼燕, huangqiongyan8836@163.com

DOI：10.12201/bmr.202604.00147

Effect of electroacupuncture on postoperative analgesia in elderly patients undergoing percutaneous transformational endoscopic discectomy

• 摘要：目的:探讨电针在老年经皮椎间孔镜椎间盘切除术(PTED)术中辅助镇痛的效果。方法:选取65例接受PTED手术的老年腰椎间盘突出症(LDH)患者,分为电针组(n=33)和对照组(n=32)。对照组采取局部麻醉(1%利多卡因+0.375%罗哌卡因),电针组采取电针联合局部麻醉,取穴足三里、委中、合谷及内关。分别于不同时间点,即入室时(T0)、切皮时(T1)、椎间孔成形时(T2)、神经减压时(T3)、缝合时(T4),动态监测心率(HR)、平均动脉压(MAP)和视觉疼痛模拟评分(VAS)。记录术毕即刻的患者再次手术意愿,统计手术时间、术中补救镇痛率和不良反应发生率。结果:T1~T3时,电针组MAP和HR较对照组降低(P＜0.05),电针组VAS评分较对照组降低(P＜0.05)。两组手术时间比较无统计学差异(72.96±5.31min vs 75.12±6.03min)(P＞0.05),电针组术中补救镇痛率较对照组降低(3.12% vs 27.27%),再次手术意愿较对照组增高(93.75% vs 54.54%)(P＜0.05)。两组不良反应比较无统计学差异(6.25% vs 18.18%)(P＞0.05)。结论:相较于单纯局部麻醉,电针联合局部麻醉可在PTED术中提供更为满意的辅助镇痛效果,减少老年患者术中补救镇痛率,且无明显不良反应。

  关键词： 腰椎间盘突出症；电针；镇痛；经皮椎间孔镜椎间盘切除术；局部麻醉; ; ; ; 

   

  Abstract: Objective To evaluate the effect of electroacupuncture on postoperative analgesia in elderly patients undergoing percutaneous transformational endoscopic discectomy(PTED). Methods 65 elderly patients with lumbar disc herniation (LDH) who underwent PTED were selected and divided into electroacupuncture group (n=33) and control group (n=32). The control group were treated with local anesthesia (1% lidocaine and 0.375% ropivacaine), while electroacupuncture group were treated with electroacupuncture combined with local anesthesia at Zusanli, Weizhong, Hegu and Neiguan. The heart rate (HR), mean arterial pressure (MAP) and visual analogue scale (VAS) were monitored at different time points, including entering room (T0), skin incision (T1), foraminoplasty (T2), nerve decompression (T3) and suture (T4). The intention of reoperation was recorded immediately after the operation. The operation time, the rate of intraoperative rescue analgesia, and the incidence of adverse reactions were recorded. Results At T1~T3, the MAP and HR in electroacupuncture group were lower than control group(P＜0.05), and the VAS score of electroacupuncture group was lower than in control group(P＜0.05). There was no difference of operation time between two groups (72.96±5.31min vs 75.12±6.03min)(P＞0.05). The rescue analgesic rate of electroacupuncture group was lower than control group (3.12% vs 27.27%). The willingness of reoperation in the observation group was higher than that in the control group (93.75% vs 54.54%)(P＜0.05). There was no difference of adverse reactions between two groups (6.25% vs 18.18%)(P＞0.05). Conclusion Compared with local anesthesia alone, electroacupuncture combined with local anesthesia can provide a more satisfactory adjuvant analgesic effect in PTED, reduce intraoperative rescue analgesia in elderly patients, and has no obvious adverse reactions.

  Key words: Lumbar disc herniation; Electroacupuncture; Analgesia; Percutaneous transformational endoscopic discectomy; Local anaesthesia

  提交时间：2026-04-22

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• 序号	提交日期	编号	操作
  1	2026-03-05	10.12201/bmr.202604.00147V1	下载

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