【摘要】 目的 探讨穴位刺激辅助麻醉对妇科腹腔镜手术患者术后苏醒延迟的影响。方法 选取2024年1月至12月吉林省吉林中西医结合医院收治的60例全身麻醉下行妇科腹腔镜手术的患者作为研究对象，按照随机数字表法分为对照组（30例）与观察组（30例）。对照组采用常规手术的方法，观察组采用常规手术加穴位刺激辅助麻醉的方法。比较两组的苏醒相关指标、术后伴见症状评分、术中麻醉药物用量、生命体征、疼痛程度、指标恢复时间。结果 观察组的苏醒时间短于对照组，苏醒评分高于对照组，差异有统计学意义（P<0.05）。观察组的术后伴见症状评分、术中麻醉药物用量均低于对照组，拔管时间、麻醉恢复室（PACU）停留时间、首次下床活动时间、首次排气时间，以及术后住院时间均短于对照组，差异有统计学意义（P<0.05）。两组患者拔管时的收缩压（SBP）、舒张压（DBP）、心率（HR）均低于本组入室时，两组患者拔管时的经皮动脉血氧饱和度（SpO₂）水平均高于本组入室时，差异有统计学意义（P<0.05）；观察组拔管时的SBP、DBP、HR水平均低于对照组，差异有统计学意义（P<0.05）；但两组患者拔管时的SpO₂水平比较，差异无统计学意义（P>0.05）。两组患者出PACU时的视觉模拟评分法（VAS）评分比较，差异无统计学意义（P>0.05）；观察组术后4、12、24、48 h的VAS评分均低于对照组，差异有统计学意义（P<0.05）。两组患者术后4、12、24、48 h的VAS评分均高于本组出PACU时，差异有统计学意义（P<0.05）；两组患者术后48 h的VAS评分均低于本组术后4、12、24 h，术后24 h的VAS评分均低于本组术后4、12 h，术后12 h的VAS评分均低于本组术后4 h，差异有统计学意义（P<0.05）。结论 对妇科腹腔镜手术的患者，给予穴位刺激辅助麻醉，能产生更好的效果，能减少麻醉药物的用量，从而缩短苏醒时间，促进患者的康复，建议临床采纳。更多还原

【Abstract】 Objective To explore the effect of acupoint stimulation assisted anesthesia on postoperative awakening delay of gynecological laparoscopic surgery patients. Methods A total of 60 patients undergoing gynecological laparoscopic surgery under general anesthesia in Jilin Hospital of Integrated Traditional Chinese and Western Medicine, Jilin Province from January to December 2024 were selected as the research objects. According to the random number table method, they were divided into control group（30 cases） and observation group（30 cases）. The control group was treated with conventional surgery, and the observation group was treated with conventional surgery plus acupoint stimulation. The recovery related indicators, postoperative symptom scores, intraoperative anesthetic drug dosage, vital signs, pain degree, and index recovery time were compared between the two groups. Results The recovery time of the observation group was shorter than that of the control group, and the recovery score was higher than that of the control group, and the differences were statistically significant（P<0.05）. The postoperative symptoms score, intraoperative anesthetic drug dosage of the observation group were lower than those of the control group, extubation time, postanesthesia care unit（PACU） residence time, first ambulation time,first exhaust time, and postoperative hospital stay were shorter than those of the control group, and the differences were statistically significant（P <0.05）. The levels of systolic blood pressure（SBP）, diastolic blood pressure（DBP） and heart rate（HR） of the two groups at the time of extubation were lower than those at the time of admission, the levels of percutaneous arterial oxygen saturation（SpO₂） of the two groups at the time of extubation were higher than those at the time of admission, and the differences were statistically significant（P<0.05）. The levels of SBP, DBP and HR in the observation group were lower than those in the control group at the time of extubation, and the differences were statistically significant（P<0.05）. However, there was no statistically significant difference in SpO₂levels between the two groups at the time of extubation（P>0.05）. There was no statistically significant difference in visual analogue scale（VAS） score between the two groups at the time of leaving PACU（P>0.05）. The VAS scores of the observation group at 4, 12, 24 and 48 hours after operation were lower than those of the control group, and the differences were statistically significant（P<0.05）. The VAS scores of the two groups at 4, 12, 24 and 48 hours after operation were higher than those at the time of leaving PACU, and the differences were statistically significant（P<0.05）. The VAS scores of the two groups at 48 h after operation were lower than those at 4, 12, and 24 h after operation, the VAS scores at 24 h after operation were lower than those at 4 and 12 h after operation, and the VAS scores at 12 h after operation were lower than those at 4 h after operation, and the differences were statistically significant（P<0.05）. Conclusion For patients undergoing gynecological laparoscopic surgery, acupoint stimulation can produce better effects, reduce the dosage of anesthetic drugs,shorten the recovery time, and promote the recovery of patients. It is recommended to be adopted in clinical practice.更多还原