针刺麻醉联合局部麻醉在慢性鼻窦炎射频消融手术中的应用效果
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摘要
目的:观察针刺麻醉联合局部麻醉在慢性鼻窦炎射频消融手术中的应用效果。方法:将慢性鼻窦炎射频消融手术患者90例随机分为2组各45例,对照组应用局部麻醉,研究组应用针刺麻醉联合局部麻醉,比较2组患者麻醉效果以及麻醉安全性。结果:研究组患者治疗后不同时间点血压以及心率优于对照组(P<0.05),VAS评分低于对照组(P<0.05),发生气短、心慌以及恶心等不良反应的几率低于对照组(P<0.05)。结论:慢性鼻窦炎患者射频消融手术治疗中应用针刺麻醉联合局部麻醉效果优于单纯局部麻醉,能提高麻醉安全性。
Objective: To discuss the application effects of acupuncture anesthesia and local anesthesia to radiofrequency ablation surgery for chronic nasosinusitis. Methods: All 90 patients were randomized into two groups, the control group used local anesthesia, while the experiment group adopted acupuncture anesthesia and local anesthesia, to compare anesthesia effects and the safety between both groups. Results: The experiment group was superior to the control group in blood pressure and heart rate at different time points after treating(P<0.05),lower than the control group in VAS scores(P<0.05), lower than the control group in the incidences of panting,palpitation and nausea and others(P<0.05). Conclusion: Application of acupuncture anesthesia and local anesthesia to radiofrequency ablation surgery is helpful to improve anesthesia safety, and it′s superior to local anesthesia.
Objective: To discuss the application effects of acupuncture anesthesia and local anesthesia to radiofrequency ablation surgery for chronic nasosinusitis. Methods: All 90 patients were randomized into two groups, the control group used local anesthesia, while the experiment group adopted acupuncture anesthesia and local anesthesia, to compare anesthesia effects and the safety between both groups. Results: The experiment group was superior to the control group in blood pressure and heart rate at different time points after treating(P<0.05),lower than the control group in VAS scores(P<0.05), lower than the control group in the incidences of panting,palpitation and nausea and others(P<0.05). Conclusion: Application of acupuncture anesthesia and local anesthesia to radiofrequency ablation surgery is helpful to improve anesthesia safety, and it′s superior to local anesthesia.
引文
[1]李玉瑾,李佩忠,金新.鼻内镜鼻窦手术联合低温等离子下鼻甲射频消融术治疗慢性鼻-鼻窦炎的疗效观察[J].临床耳鼻咽喉头颈外科杂志,2015,29(9):788-791.
[2] Watelet JB,Bachert C,Claeys C,et al.Matrix metalloproteinases MMP-7,MMP-9 and their tissue inhibitor TIMP-1:expression in chronic sinusitis vs nasal polyposis[J].Allergy,2015,59(1):54-60.
[3]任君寿,廖映英.鼻内镜手术中采用低温等离子射频消融改善慢性鼻-鼻窦炎患者鼻腔通气状态的效果分析[J].蚌埠医学院学报,2016,41(7):893-896.
[4]刘宏胜,蔡爱军.鼻内镜鼻窦手术联合鼻甲射频消融术治疗慢性鼻窦炎的临床效果观察[J].实用临床医药杂志,2017,21(5):135-137.
[5] Berrettini S,Carabelli A,Sellari-Franceschini S,et al.Perennial allergic rhinitis and chronic sinusitis:correlation with rhinologic risk factors[J].Allergy,1999,54(3):242-248.
[6] Dixon HS.Microscopic antrostomies in children:A review of the literature in chronic sinusitis and a plan of medical and surgical treatment[J].Laryngoscope,1976,86(12):1796-1814.
[7]张亚宁,刘楠,郑伟红,等.鼻内镜下鼻甲骨折外移联合射频消融术治疗慢性肥厚性鼻炎的疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2016,24(2):104-105.
[8]黄录琼,薛康,杨家骏,等.低温等离子射频消融治疗慢性扁桃体炎效果观察[J].四川医学,2015,36(7):1040-1041.
[9] Dlugaszewska J,Leszczynska M,Lenkowski M,et al.The pathophysiological role of bacterial biofilms in chronic sinusitis[J].European Archives of Oto Rhino Laryngology,2016,273(8):1989-1994.
[10]吴瑞珊,王佳蓉,陈翊民.鼻外科手术联合上气道射频消融术用于阻塞性睡眠呼吸暂停低通气综合征伴慢性鼻塞患者治疗的疗效分析[J].重庆医科大学学报,2015,40(1):112-115.
[11]张萍,耿江桥,刘原虎,等.三线减张鼻中隔矫正联合射频消融治疗持续性变应性鼻炎[J].中国耳鼻咽喉头颈外科,2015,22(5):253-256.
[12]张峰,赵龙珠,陈元星,等.鼻内镜鼻窦手术联合低温等离子下鼻甲射频消融术治疗慢性鼻-鼻窦炎的疗效观察[J].湖南中医药大学学报,2016,36(6):188.
[13] Saibene AM,Vassena C,Pipolo C,et al.Odontogenic and rhinogenic chronic sinusitis:a modern microbiological comparison[J].Int Forum Allergy Rhinol,2016,6(1):41-45.
[14]谢强,付文洋.变应性鼻炎中医治疗研究现状[J].西部中医药,2015,28(3):140-142.
[15]潘阳春,张龙芳,王军.低温等离子射频消融术与微波消融术治疗重度变应性鼻炎的疗效对比研究[J].中国现代医学杂志,2015,25(19):103-106.
[2] Watelet JB,Bachert C,Claeys C,et al.Matrix metalloproteinases MMP-7,MMP-9 and their tissue inhibitor TIMP-1:expression in chronic sinusitis vs nasal polyposis[J].Allergy,2015,59(1):54-60.
[3]任君寿,廖映英.鼻内镜手术中采用低温等离子射频消融改善慢性鼻-鼻窦炎患者鼻腔通气状态的效果分析[J].蚌埠医学院学报,2016,41(7):893-896.
[4]刘宏胜,蔡爱军.鼻内镜鼻窦手术联合鼻甲射频消融术治疗慢性鼻窦炎的临床效果观察[J].实用临床医药杂志,2017,21(5):135-137.
[5] Berrettini S,Carabelli A,Sellari-Franceschini S,et al.Perennial allergic rhinitis and chronic sinusitis:correlation with rhinologic risk factors[J].Allergy,1999,54(3):242-248.
[6] Dixon HS.Microscopic antrostomies in children:A review of the literature in chronic sinusitis and a plan of medical and surgical treatment[J].Laryngoscope,1976,86(12):1796-1814.
[7]张亚宁,刘楠,郑伟红,等.鼻内镜下鼻甲骨折外移联合射频消融术治疗慢性肥厚性鼻炎的疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2016,24(2):104-105.
[8]黄录琼,薛康,杨家骏,等.低温等离子射频消融治疗慢性扁桃体炎效果观察[J].四川医学,2015,36(7):1040-1041.
[9] Dlugaszewska J,Leszczynska M,Lenkowski M,et al.The pathophysiological role of bacterial biofilms in chronic sinusitis[J].European Archives of Oto Rhino Laryngology,2016,273(8):1989-1994.
[10]吴瑞珊,王佳蓉,陈翊民.鼻外科手术联合上气道射频消融术用于阻塞性睡眠呼吸暂停低通气综合征伴慢性鼻塞患者治疗的疗效分析[J].重庆医科大学学报,2015,40(1):112-115.
[11]张萍,耿江桥,刘原虎,等.三线减张鼻中隔矫正联合射频消融治疗持续性变应性鼻炎[J].中国耳鼻咽喉头颈外科,2015,22(5):253-256.
[12]张峰,赵龙珠,陈元星,等.鼻内镜鼻窦手术联合低温等离子下鼻甲射频消融术治疗慢性鼻-鼻窦炎的疗效观察[J].湖南中医药大学学报,2016,36(6):188.
[13] Saibene AM,Vassena C,Pipolo C,et al.Odontogenic and rhinogenic chronic sinusitis:a modern microbiological comparison[J].Int Forum Allergy Rhinol,2016,6(1):41-45.
[14]谢强,付文洋.变应性鼻炎中医治疗研究现状[J].西部中医药,2015,28(3):140-142.
[15]潘阳春,张龙芳,王军.低温等离子射频消融术与微波消融术治疗重度变应性鼻炎的疗效对比研究[J].中国现代医学杂志,2015,25(19):103-106.