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Study of wrist-ankle acupuncture therapy for optimizing anaesthesia scheme of painless gastroscopy and improving painless gastroscopy related complications

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World Journal of Gastrointestinal Endoscopy 2023年第2期15卷 56-63页

作者： Li-Yan Zheng Sui-Cai Mi Ling-Yan Wu Zheng-Jin Xu Hao Lu Department of Anesthesiology Xiamen Hospital of Traditional Chinese MedicineXiamen 361000Fujian ProvinceChina Department of Oncology Xiamen Hospital of Traditional Chinese MedicineXiamen 361000Fujian ProvinceChina Department of Nephropathy Xiamen Hospital of Traditional Chinese MedicineXiamen 361000Fujian ProvinceChina Department of Nephrology Xiamen Hospital of Traditional Chinese MedicineXiamen 361000Fujian ProvinceChina Department of Hepatobiliary and Pancreatic Surgery Xiamen Hospital of Traditional Chinese MedicineXiamen 361000Fujian ProvinceChina

BACKGROUND Painless gastroscopy is a widely used diagnostic and therapeutic technology in clinical practice.Propofol combined with opioids is a common drug for painless endoscopic sedation and anaesthesia.In clinical work,adverse drug reactions of anaesthesia schemes are often one of the important areas of concern for doctors and patients.With the increase in propofol dosage,the risk of serious adverse drug reactions,such as respiratory depression and hypotension,increases significantly;the use of opioids often causes gastrointestinal reactions in patients after examination,such as nausea,vomiting,delayed recovery of gastrointestinal function and other complications,which seriously affect their quality of life.AIM To observe the effect of wrist-ankle acupuncture therapy on the anaesthesia regimen and anaesthesia-related complications during and after painless gastroscopy examination.METHODS Two hundred patients were selected and randomly divided into a treatment group(n=100)and a control group(n=100).Both groups were routinely anaesthetized with the nalbuphine and propofol regimen,gastroscopy began after the patient lost consciousness,and given supportive treatment and vital sign monitoring.If the patient interrupted the surgery due to intraoperative torsion,intravenous propofol was used to relieve his or her discomfort.The treatment group received wrist-ankle acupuncture on this basis.RESULTS The general data before treatment,American Society of Anesthesiologist(ASA)grade and operation time between the two groups was no significant difference.The Wakeup time,and the Selfambulation time in the treatment group was significantly faster than that in the control group(P<0.05).The total dose of propofol in the treatment group was 109±8.17 mg,significantly lower than that in the control group(P<0.05).The incidence of respiratory depression and hypotension was not significantly different,but the incidence of hiccups was significantly lower than that in the control group(P<0.05).After the examination,the incidence of nau

关键词： wrist-ankle acupuncture therapy acupuncture anaesthesia Painless gastroscopy Gastroscopy Anaesthesia-related complications

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