Observation of transcutaneous electric nerve stimulation on the effects of postoperative analgesia with PCEA
Xiao Hui
She Shouzhang
Xiao Jianbin
Abstract:Objective To evaluate the effects of Han's Acupoint Nerve Stimulator on postoperative patient controlled epidural analgesia(PCEA). Methods 40 patients of ASA Ⅰ~Ⅱ undergoing hysterectomy were randomly divided into two groups: A group (20 cases) was given Han's and PCEA postoperatively; control group(20 cases) was given PCEA only. The VAS score, Ramesay score, Bruggrmann comfort scale ,dosage of analgesia, and complications were observed. In some patients, the serum cortisol level were measured before anesthesia and 8, 18 and 42 h after operation. Results The Bruggrmann comfort scale was higher in A group than that in control group(P<0.05). The dosage of analgesia in A group was (31.7±1.9) ml, as compared to (34.2±2.1)ml in control group, showing a significant difference(P<0.01). The serum cortisol decreased in both groups, but the level was lower in A group than in control group 8 h after operation. Adverse effects such as nausea and vomiting were obviously less in A group than in control group. Conclusion PCA combined with transcutaneous electric nerve stimulation can enhance the analgesic efficacy, reduce analgesia dosage and decrease adverse effects.
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Publication Date:2001-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 482-484 )
