摘要：

Objective:To research the effect of electronic neurostimulation at "Neiguan" acupoint on circulation and myocardial enzymes.Methods:Sixty patients who underwent gynecologic laparoscopic surgery were randomly divided into acupoint group (20 cases),non-acupoint group (20 cases) and control group (20 cases).The index of CK,CK-MB,AST,LDH of the 60 patients after anesthesia and 24 h post operation were tested.The HR,MAP,SpO2 were monitored and compared before induction,before pneumoperitoneum,at 5 min and 10 min after pneumoperitoneum was established.Results:The HR,MBP were not significantly different at 5 min and 10 min after pneumoperitoneum was established compared with before pneumoperitoneum in acupoint group (P > 0.05).The HR and MBP in acupoint group at 5 and 10 min after pneumoperitoneum were less than those in non-acupoint group and control group (P <0.05).The myocardial enzymes were not significantly different at 24 h post operation than before induction in acupoint group (P>0.05).The myocardial enzymes in acupoint group at 24 h post operation were significantly less than those in non-acupoint group and control group (P < 0.05).The CK and AST at 24 h post operation were increased significantly than before induction in non-acupoint group and control group (P < 0.05).Conclusions:Circulation and myocardial enzymes of patients with gynecologic laparoscopic surgery could be changed,the gynecologic laparoscopic surgery is prone to induce myocardial injury,the elderly and patients with heart disease should pay attention.The myocardial enzymes of patients with gynecologic laparoscopic surgery can be reduced by electroacupuncture "Neiguan" acupoint,which ensures circulation stability and protects the heart.%目的:研究于内关穴位进行电神经刺激疗法对妇科腹腔镜手术患者循环,心肌酶谱的影响.方法:随机将60例妇科腹腔镜手术患者分为穴位组,非穴位组及对照组,每组20例,监测术前及术后24 h三组患者心肌酶谱的变化.术中监测诱导前(T0),气腹前(T1),气腹后5 min(T2),气腹后10 min(T3)3组患者心率(HR),平均动脉压(MAP),血氧饱和度(SpO2)的变化,并进行对比分析.结果:T2,T3时,穴位组患者MAP,HR无明显变化;与T1相比,差异无统计学意义(P>0.05);与对照组,非穴位组相比,差异有统计学意义(P<0.05).术后24 h,穴位组患者心肌酶谱无明显变化,与术前相比,差异无统计学意义(P>0.05);明显优于非穴位组,对照组(P<0.05);非穴位组,对照组患者CK,AST明显增高,与术前相比,差异有统计学意义(P<0.05).结论:妇科腹腔镜手术后患者循环及心肌酶谱均可发生改变,容易诱发心肌损伤,老年及心脏病患者尤应注意.电针内关可抑制妇科腹腔镜手术患者心肌酶的增加,保证循环稳定,保护心脏.

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