[1]吴仁庆.电针联合全身麻醉对腹部手术患者镇痛效果及血清IL-1β、S100β蛋白和NSE水平的影响[J].陕西中医,2021,(1):118-120.[doi:DOI:10.3969/j.issn.1000-7369.2020.01.033]
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电针联合全身麻醉对腹部手术患者镇痛效果及血清IL-1β、S100β蛋白和NSE水平的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年1期
页码:
118-120
栏目:
针灸经络
出版日期:
2021-01-05

文章信息/Info

作者:
吴仁庆
(解放军联勤保障部队第九○八医院麻醉科,江西 南昌 330000)
关键词:
电针 全身麻醉 腹部手术 镇痛 效果 血清IL-1β S100β蛋白 NSE
分类号:
R 614
DOI:
DOI:10.3969/j.issn.1000-7369.2020.01.033
文献标志码:
A
摘要:
目的:探讨电针联合全身麻醉对腹部手术患者镇痛效果和血清白介素-1β(IL-1β)、特异性蛋白100β(S100β蛋白)及神经元特异性烯醇化酶(NSE)水平的影响。方法:以行腹部手术治疗的72例患者为研究对象,按随机数字表法分为研究组(36例,给予电针联合全身麻醉)和对照组(36例,给予全身麻醉)。记录两组患者麻醉持续时间、苏醒时间,统计两组患者术后1、2、3 d患者疼痛程度,术前及术后1、2、3 d的认知功能,观察两组患者不同时间段IL-1β、S100β蛋白及NSE水平。结果:两组麻醉持续时间比较,差异无统计学意义(P>0.05); 研究组苏醒时间明显低于对照组,差异有统计学意义(P<0.05)。研究组术后1、2、3 d的疼痛程度均低于对照组,差异有统计学意义(P<0.05)。研究组术后1、2、3 d的认知功能障碍均低于对照组,差异有统计学意义(P<0.05)。麻醉前5 min,两组NSE、S100蛋白及IL-1β的水平比较,差异无统计学意义(P>0.05); 术后12 h时,两组NSE、血清S100蛋白及IL-1β水平升高,研究组NSE、血清S100蛋白及IL-1β水平均低于对照组,差异有统计学意义(P<0.05); 术后24 h时,两组均显著下降,且研究组NSE、血清S100蛋白及IL-1β水平低于对照组,差异有统计学意义(P<0.05)。结论:腹部手术患者采用电针联合全身麻醉镇痛效果好,且可降低患者血清IL-1β、S100β蛋白及NSE水平,减少对中枢神经的损伤,降低炎症反应。

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备注/Memo

备注/Memo:
基金项目:江西省卫生和计划生育委员会科技计划项目(20181049)
更新日期/Last Update: 2021-01-11