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Transcutaneous electrical acupoint stimulation combined intravenous anesthesia OK endoscopic thyroid surgery clinical research

Author: YanYanNian
Tutor: LiYaLan
School: Jinan University
Course: Anesthesiology
Keywords: Transcutaneous electrical stimulation TCI Endoscopic thyroidectomy subtotal resection Interleukin-6 Tumor necrosis factor -α
CLC: R614
Type: Master's thesis
Year: 2011
Downloads: 45
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Abstract

Objective To investigate the transcutaneous electrical stimulation (TAES) composite intravenous anesthesia OK endoscopic bilateral subtotal thyroidectomy surgery clinical applications. Methods 60 cases of ASAI-Ⅱ grade elective laparoscopic bilateral subtotal thyroidectomy surgery were randomly divided into two groups of 30 cases. Treated TAES auxiliary intravenous anesthesia group ; control group : total intravenous anesthesia group . Both groups were injected 1h before anesthesia luminal 0.1g, atropine 0.5mg. Vein before induction treatment groups with Han stimulator (HANS) to stimulate bilateral Hegu, Neiguan 30min, the control group in the operating room repose 30min. Anesthesia was induced using the same two groups : intravenous midazolam 0.04mg/kg, fentanyl 4μg/kg, atracurium 0.8mg/kg, propofol induction of anesthesia to the initial target concentration of 2.5μg/ml. Intraoperative treatment groups continued to HANS acupoint stimulation electrical stimulation of bilateral Hegu, Neiguan . Intraoperative adjust the effect-site concentration of propofol maintain BIS values ??50 ± 5, and constant infusion of remifentanil and atracurium to maintain analgesia and muscle relaxation , which disables all surgery anesthetic . Record Evaluation : The patient after the burglary , BIS values ??before induction of anesthesia and perioperative hemodynamic changes ; burglary , before induction of anesthesia , inflatable 30min after surgery when propofol target concentration and venous IL-6 , TNF-α concentrations ; recording the patient's recovery time , extubation time and time away from the room . Results The two groups before the induction of intravenous BIS values ??compared to baseline values ??were significantly decreased (P lt; 0.01), but the treatment group compared with the control group decreased decrease in amplitude, was statistically significant (P lt; 0.01). Treated intraoperative and extubation hemodynamic stability compared with the control group (P lt; 0.05). Intraoperative blood treated with IL-6 concentrations increased slightly , but not statistically significant compared to baseline values ??(P gt; 0.05), control group intraoperative blood concentrations of IL-6 was significantly higher compared to baseline values ??(P lt ; 0.01 ) , compared with the same point processing is a significant difference (P lt; 0.05). Treatment group at each time point intraoperative propofol target concentration was significantly less than the control group (P lt; 0.01), recovery time , extubation time was shorter and the ionization chamber in the control group (P lt; 0.05). Conclusion TAES assisted endoscopic thyroidectomy intravenous anesthesia OK subtotal resection can better maintain intraoperative and extubation hemodynamic stability and, where appropriate stress response inhibition while reducing the amount of narcotic drugs , is an economic safe anesthesia.

Transcutaneous electrical acupoint stimulation combined intravenous anesthesia OK endoscopic thyroid surgery clinical research

Abstract

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