针刺联合丙泊酚用于无痛结肠镜检查的可行性研究

目的:观察针刺联合丙泊酚用于无痛结肠镜检查的可行性。方法:选择2017年1月至2018年1月在我院行无痛结肠镜检查的门诊患者80例作为研究对象,将其按随机数字表分为对照组和观察组,每组40例患者。对照组给予静脉泵入丙泊酚后进行检查,观察组在对照组的基础上再联合针刺镇痛,比较两组检查时间、检查后腹痛NRS评分、丙泊酚用量及患者满意度,连续动态监测检查前、检查后2 min、检查后5 min、检查结束后的收缩压(SBP)、舒张压(DBP)、心率(HR)的变化情况,记录检查过程中不良反应的发生情况,调查愿意接受复查情况。结果:观察组检查时间明显短于对照组(P0.05),丙泊酚用量、检查后腹痛NRS评分、不良反应发生率均明显低于对照组(P0.05),患者满意度、愿意接受复查率均明显高于对照组(P0.05)。观察组检查前后心率、收缩压、舒张压无明显变化(P0.05),而对照组检查后2 min、检查后5 min心率、收缩压、舒张压均较检查前明显下降(P0.05),观察组检查后2 min、5 min的心率、收缩压、舒张压均明显高于对照组(P0.05)。结论:针刺联合丙泊酚应用于无痛结肠镜检查较单用丙泊酚具有更好的镇痛效果,且对生命体征的影响更小,安全性更高,患者满意度及依从性更好。

Feasibility of Combination of Acupuncture and Propofol for Painless Colonoscopy

ABSTRACT Objective: To observe the feasibility of combination of acupuncture and propofol in painless colonoscopy. Methods: 80 outpatients who underwent painless colonoscopy in our hospital from January 2017 to January 2018 were selected and divided into the control group and the observation group with 40 cases in each group according to the random number table. The control group was given intravenous injection of propofol before being examined. The observation group was combined with acupuncture analgesia on the basis of control group. The examination time, NRS score of abdominal pain after examination, propofol dosage and patient satisfaction, sys- tolic blood pressure (SBP), diastolic blood pressure (DBP) and Heart rate (HR) were dynamically monitored Before inspection, 2 minutes after inspection, 5 minutes after inspection, after inspection, the occurrence of adverse reactions during the inspection process were com- pared between two groups. Results: The examination time of observation group was significantly shorter than that of the control group (P<0.05). The dosage of propofol, NRS score of abdominal pain and incidence of adverse reactions in observation group were significantly lower than those of the control group(P<0.05). The patient satisfaction rate and rate of willingness to accept the examination of observa- tion group were significantly higher than those of the control group(P<0.05). There was no significant change in heart rate, systolic blood pressure and diastolic blood pressure between observation group and control group(P>0.05). The heart rate, systolic blood pressure and diastolic blood pressure in the control group were significantly lower than those before the examination(P<0.05). The heart rate, systolic blood pressure and diastolic blood pressure in the observation group at 2 min and 5 min after examination were significantly higher than those in the control group(P<0.05). Conclusion: Combination of acupuncture and propofol has better analgesic effect, less impact on vi- tal signs, higher safety and patient satisfaction and better compliance than propofol alone for the painless colonoscopy.