电针在老年经皮椎间孔镜椎间盘切除术中辅助镇痛的效果观察OA

Objective To evaluate the effect of electroacupuncture on postoperative analgesia in elderly patients undergoing percutaneous transformational endoscopic discectomy(PTED).Methods A total of 65 elderly patients with lumbar disc herniation who underwent PTED were selected as subjects,they were divided into electroacupuncture group(n=32)and control group(n=33).The control group were treated with local anesthesia(1%lidocaine and 0.375%ropivacaine),while electroacupuncture group were treated with electroacupuncture combined with local anesthesia at Zusanli,Weizhong,Hegu,and Neiguan.The heart rate(HR),mean arterial pressure(MAP)and visual analogue scale(VAS)were monitored at different time points,including entering room(T0),skin incision(T1),foraminoplasty(T2),nerve decompression(T3)and suture(T4).The intention of reoperation was recorded immediately after the operation.The operation time,the rate of intraoperative rescue analgesia,and the incidence of adverse reactions were recorded.Results At T1-T3,MAP,HR,VAS score in electroacupuncture group were lower than those in control group(P<0.05).The rescue analgesic rate of electroacupuncture group was lower than that of control group.The willingness of reoperation in electroacupuncture group was higher than that in control group(P<0.05).Conclusion Compared with local anesthesia alone,electroacupuncture combined with local anesthesia can provide a more satisfactory adjuvant analgesic effect in PTED,reduce intraoperative rescue analgesia in elderly patients,and has no obvious adverse reactions.