| Objective : To explore the application effect of transcutaneous electrical acupoint stimulation aided with intravenous patient-controlled analgesia in liver cancer patients with postoperative analgesia and to improve patients’ s analgesic effect and promote the patients postoperative rehabilitation for the purpose,for liver cancer patients with postoperative analgesia provide the basis for selection.Methods: Selected hospitalized in Department of hepatobiliary surgery,the Tumor Hospital of Guangxi Medical University from January 2014 to June2015,met the inclusion criteria and exclusion criteria of liver cancer patients,a total of 200 cases,according to random number table method were divided into control group of 100 cases,100 cases of the experimental group.The control group were treated with routine nuring and treatment,and given patient-controlled intravenous analgesia within 48 h after surgery,analgesia drugs formulated as a sodium chloride solution(0.9%)100ml+flurbiprofen injection10ml+tropisetron hydrochloride injection 10ml+sufentanil citrate injection2.4ml,(background infusion of 2ml/h,a single dose of 0.5ml,the locking time of15min);the experimental group on the basis of the control group’s,received transcutaneous electrical acupoint stimulation to aided with analgesia;since the patients awake after surgery,given transcutaneous electrical stimulation for Taichong,Hegu points of frequency 20 Hz,the voltage 16～28V,stimulation intensity with patient tolerance advisable,the treatment time for 40 min,2 times a day,a total of 2 days.To compare the two groups of patients(1)the Changhai Rating Scale score of the preoperative 1d and the postoperative 12h、24h、36h、48h;(2)the analgesia pump reagent additional quantity of the two groups within48 h after surgery;(3)the first defecation and exhaust time of postoperative.Using the SPSS19.0 statistical software to statistical analysis the results of all the date.Result:(1)Pain score: preoperative 1d,the control group’s "Changhai pain scale" score was(1.57 ± 0.50),the experimental group’s "Changhai pain scale" score was(1.46 ± 0.50),the difference was not statistically significant(P> 0.05);postoperative 12h、24h 、36h、48h,the experimental group’s "Changhai pain scale" score were(5.57 ± 0.92)、(4.58 ± 1.00)、(3.63 ± 1.18)、(2.38 ± 1.04),the control group’s "Changhai pain scale" score were(5.94 ± 1.10)、(5.24 ±0.98)、(4.60 ± 1.17)、(3.97 ± 1.36),the experimental group’s were lower than the control group’s,the difference was statistically significant(P <0.05).(2)Analgesia pump reagent additional quantity: within 48 h after surgery,the experimental group’s analgesic drug pump an additional amount(1.99 ± 0.76)ml,the control group’s analgesia pump an additional amount(2.51 ± 0.67)ml;the intravenous self-control analgesia pump agent additional quantity of the experimental groups’ were lower than the control group’s,the difference was statistically significant(P < 0.05).(3)The postoperative anal exhaust time and defecation time for the first time: the experimental group’s anal exhaust time of the first time after surgery was(49.66±9.43)h,the control group’s anal exhaust time of the first after surgery was(55.20±9.57)h,the anal exhaust time of the first time after surgery with the experimental group’s was shorter than the control groups’,the difference was statistically significant(P < 0.05);the experimental group defecation time of the first time after surgery was(71.20±9.64)h,the control group defecation time of the first time after surgery was(78.74±10.22)h,the defecation time of the first time after surgery with the experimental group’s was shorter than the control groups’,the difference was statistically significant(P<0.05).Conclusion:Transcutaneous electrical stimulation aided with intravenous patient-controlled analgesia compared with single intravenous patient-controlled analgesia,can reduce postoperative analgesic additional quantity and can more effectively improve the postoperative analgesia in patients with liver cancer,promote patients’ s recovery of gastrointestinal function,is beneficial to patients with postoperative rehabilitation. |
