低频或高频电针刺激对产妇脊髓麻醉后低血压的比较:一个前性随机控制临床试验
Xiaoyu Liu1, Zijun Gao1, Yongzhou Jiang1
1Department of Anesthesiology, Xijing Hospital, Air Force Medical University, Xi'an, China.
Journal of integrative and complementary medicine
|March 28, 2024
概括
在PC6的高频跨皮电针点刺激 (TEAS) 有效地降低了产妇在脊髓麻醉后的低血压. 低频TEAS没有显著的益处,但两种频率都减少了恶心和吐.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 针和电针的治疗方法
背景情况:
- 产妇的脊髓麻醉 (SA) 可以导致低血压,这是一个常见的并发症.
- 在剖腹产期间,控制低血压对于母亲和新生儿的健康至关重要.
- 穿皮电针点刺激 (TEAS) 是一种非药物治疗方法,具有潜在的益处.
研究的目的:
- 评估TEAS在PC6针点的有效性,以预防分娩妇女中SA后低血压.
- 为了比较高频 (TEAS-HF) 与低频 (TEAS-LF) TEAS对低血压发生率和严重性的影响.
- 评估TEAS对其他不良事件和新生儿结局的影响.
主要方法:
- 一项随机对照试验,涉及90名分娩妇女在SA.下进行剖腹产.
- 参与者被分配到控制组,TEAS-HF或TEAS-LF组,在SA后30分钟进行刺激.
- 主要结局:低血压发生率在SA的30分钟内. 二次结局:最低的SBP,以弗得林/氨酸剂量,阿帕格评分和不良事件.
主要成果:
- 与对照组 (53.3%) 和TEAS-LF (40.0%) 相比,TEAS-HF显著降低了低血压发生率 (13.3%).
- 最低的SBP在TEAS-HF组 (100.0 mmHg) 比控制组 (91.5 mmHg) 和TEAS-LF组 (93.9 mmHg) 高.
- TEAS,特别是TEAS-HF,降低了恶心,吐,头和呼吸障碍;没有观察到阿特罗平使用或Apgar分数的差异.
结论:
- 在PC6时高频TEAS有效降低分娩后脊椎麻醉的低血压.
- 在PC6的低频TEAS没有显示出对低血压有显著影响.
- 在产科患者中,TEAS提供了一种有前途的辅助方法,用于管理与脊柱麻醉相关的不良影响.
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