针刺联合经皮穴位电刺激对胃镜检查时疼痛及安全性的影响OA
Effects of acupuncture combined with transcutaneous electrical acupoint stimulation on pain and safety during gastroscopy
目的 观察针刺联合经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)对胃镜检查时疼痛及安全性的影响.方法 将90 例进行胃镜检查的患者随机分为试验组与对照组,每组45 例.两组于胃镜检查操作前15 min均口服盐酸达克罗宁胶浆.试验组于胃镜检查前30 min至结束进行针刺联合TEAS干预;对照组采用 TEAS 干预,但不施加电流刺激.比较两组检查完成时及完成后 30 min 疼痛视觉模拟量表(visual analog scale,VAS)评分,比较两组检查过程中生理指标水平及胃镜检查情况,并记录不良反应发生情况.结果 试验组胃镜完成时即刻和完成后 30 min的VAS评分均低于对照组(P<0.05).试验组心率波动值、平均动脉血压波动值低于对照组(P<0.05);两组血氧饱和度波动值比较,差异无统计学意义(P>0.05).两组重复进镜率比较,差异无统计学意义(P>0.05);试验组检查总时长低于对照组(P<0.05).两组均未出现不良反应.结论 针刺联合TEAS可降低患者胃镜检查的疼痛感受,缩短检查时长,并且安全性较高.
Objective To observe the impact of acupuncture plus transcutaneous electrical acupoint stimulation(TEAS)on pain and safety during gastroscopy.Method Ninety patients undergoing gastroscopy were randomly allocated to a trial group and a control group,each consisting of 45 cases.The two groups took oral Dyclonine hydrochloride mucilage 15 min before the gastroscopic examination.In addition,the trial group received acupuncture and TEAS from 30 min before the examination till the end,and the control group only received TEAS without electrical stimulation.The two groups were compared in terms of the visual analog scale(VAS)score by the end of the examination and 30 min after the examination,as well as the physiological indicator levels during the examination and gastroscopic findings.The adverse reactions were also recorded.Result The VAS score was lower in the trial group than in the control group immediately after gastroscopy and at 30 min post-examination(P<0.05).The fluctuation values of heart rate and mean arterial pressure in the trial group were smaller than those in the control group(P<0.05);there was no significant difference in the fluctuation value of blood oxygen saturation between the two groups(P>0.05).The repeat insertion rate in gastroscopy was statistically equal between the two groups(P>0.05),but the total duration was shorter in the trial group(P<0.05).Neither group showed adverse reactions.Conclusion The combined use of acupuncture and TEAS reduces pain and shortens the examination duration in gastroscopy,with a high safety profile.
顾茜彦;王乾佑;陈贵生;冯雨露;李萌;张艺耀;陈朝明;苗晋玲
南京中医药大学,南京 210023南京中医药大学,南京 210023南京中医药大学,南京 210023南京中医药大学,南京 210023南京中医药大学,南京 210023南京中医药大学,南京 210023南京市中医院,南京 210006山西省针灸医院,太原 030006
医药卫生
针刺疗法穴位疗法电刺激疗法经皮神经电刺激胃镜检查针刺镇痛疼痛
Acupuncture therapyAcupoint therapyElectrical stimulation therapyTranscutaneous electrical stimulationGastroscopyAcupuncture analgesiaPain
《上海针灸杂志》 2026 (1)
23-27,5
冀来喜国家级名中医工作站(GJJMZYGZZ-2024-JLX)江苏省中医药科技发展计划项目(YB2020028)南京市卫生科技发展项目(ZKX24044)第六批南京市老中医药专家学术经验继承项目(2024NJLPSC)江苏省研究生实践创新计划(SJCX25_1038)
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