Study on the therapeutic effect of non-invasive acupoint electrical stimulation for postoperative painin thyroid surgery
甲状腺术后疼痛的无创穴位电刺激治疗效果研究

摘要

目的 探讨甲状腺术后疼痛的无创穴位电刺激治疗效果。方法 将2021年2月-2022年3月在本院进行手术治疗的60例甲状腺患者随机分为对照组（30例）和实验组（30例），实验组采取无创穴位电刺激治疗，对照组仅采取常规治疗，观察两组的治疗效果。结果 实验组获得有效治疗的人数明显多于对照组（P<0.05）。实验组术中瑞芬太尼的用量明显少于对照组，且术后24h的疼痛程度也比对照组轻得多（P<0.05）。不管是拔管后的1h、6h、12h还是24h，实验组POST发生率显著低于对照组，且严重程度评分也比对照组低得多（P<0.05）。实验组术后24h 内恶心呕吐发生情况明显少于对照组，且NVDS评分也比对照组低（P<0.05）。结论 甲状腺术后疼痛的无创穴位电刺激治疗效果显著，可以减少术中麻醉药物的用量，缓解疼痛，减少恶心呕吐等不良反应，值得在临床进行推广和应用。

Abstract

Objective To explore the therapeutic effect of non-invasive acupoint electrical stimulation on postoperative pain in thyroid surgery.
Methods Sixty thyroid patients who underwent surgical treatment in our hospital from February 2021 to March 2022 were randomly divided into a control group (30 cases) and an experimental group (30 cases). The experimental group received non-invasive acupoint electrical stimulation treatment, while the control group only received conventional treatment. The treatment effects of the two groups were observed.
Results The number of people in the experimental group receiving effective treatment was significantly higher than that in the control group (P<0.05). The amount of remifentanil used during surgery in the experimental group was significantly lower than that in the control group, and the pain level 24 hours after surgery was much lighter than that in the control group (P<0.05). Regardless of whether it is 1 hour, 6 hours, 12 hours, or 24 hours after extubation, the incidence of POST in the experimental group is significantly lower than that in the control group, and the severity score is also much lower than that in the control group (P<0.05). The incidence of nausea and vomiting within 24 hours after surgery in the experimental group was significantly lower than that in the control group, and the NVDS score was also lower than that in the control group (P<0.05).
Conclusion   The non-invasive acupoint electrical stimulation therapy for postoperative thyroid pain has a significant effect which can reduce the amount of anesthesia used during surgery, alleviate pain, and reduce adverse reactions such as nausea and vomiting. It is worth promoting and applying in clinical practice.