国际麻醉学与复苏杂志   2021, Issue (5): 0-0
    
经皮穴位电刺激缓解围手术期焦虑的临床应用
王玥, 李娟1()
1.安徽医科大学附属安徽省立医院麻醉科
Clinical application of transcutaneous electrical acupoint stimulation for relieving perioperative anxiety
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摘要:

围手术期焦虑是一种紧张不安的情绪,发生较普遍,可能导致麻醉药物用量增加,术后疼痛及恶心呕吐等围手术期并发症发生率增加。经皮穴位电刺激(transcutaneous electrical acupoint stimulation, TEAS)是经皮神经电刺激与中医针灸理论结合而成的一种无创、安全的穴位治疗方法,研究证实其对缓解焦虑、术后恶心呕吐及术后疼痛方面有积极影响,但相关参数并无统一定论。文章描述了围手术期焦虑的危害性及其自评量表,TEAS缓解焦虑的临床应用、相关参数选择及相关机制。TEAS对缓解患者围手术期焦虑有积极影响,其治疗参数有待进一步深入研究,以最大程度发挥治疗效果。

关键词: 围手术期; 焦虑; 经皮穴位电刺激
Abstract:

Perioperative anxiety is a of feeling of fear, uneasiness after operation with a high incidence. It may lead to increased dosage of anesthetics, postoperative pain, nausea, vomiting, and other complications. Transcutaneous electrical acupoint stimulation (TEAS) is a non‑invasive and safe acupoint treatment method based on the combination of transcutaneous electrical nerve stimulation and traditional Chinese medicine acupuncture theory. Studies have confirmed that TEAS has a positive effect on relieving anxiety, postoperative nausea and vomiting, and postoperative pain, but the relevant parameters have not been uniformly determined. This article describes the hazards of perioperative anxiety and its self‑assessment scale, the clinical application of TEAS to relieve anxiety, the selection of relevant parameters, and the related mechanisms. TEAS has a positive impact on relieving patients' perioperative anxiety, but its therapeutic parameters need a further study to maximize its therapeutic effects.

Key words: Perioperative period; Anxiety; Transcutaneous electrical acupoint stimulation