Effect of Transcutaneous Electrical Acupoint Stimulation on Emergence Agitation in Children Underwent General Anesthesia with Sevoflurane
- VernacularTitle:经皮穴位电刺激对七氟烷全麻下小儿术后躁动的影响
- Author:
Xiufei TENG
;
Yanchao YANG
;
Ning JIN
;
Junchao ZHU
- Publication Type:Journal Article
- Keywords:
transcutaneous electrical acupoint stimulation;
children;
sevoflurane;
emergence agitation
- From:
Journal of China Medical University
2015;(10):870-872,876
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of transcutaneous electrical acupoint stimulation(TEAS)on emergence agitation in children under?went general anesthesia with sevoflurane. Methods Sixty children aged 3?6 years underwent adenoidectomy and tonsillectomy were selected and randomly divided into two groups:TEAS(group T,n=30)and control(group C,n=30). After venous induction,the general anesthesia was main?tained with sevoflurane. Group T received continuous TEAS at point hegu and neiguan after anesthesia induction till the end of operation. Control group were not given TEAS. The change of the blood flow dynamics in the process of anesthesia,the time of extubation,awaking time and the time in PACU were recorded. The emergence agitation,postoperative nausea and vomitting and respiratory depression were observed. Results There were no significant differences in gender,age,weight,anesthesia time,and operative time between the two groups (P>0.05 ). There was no significant difference in extubation time,awaking time and time in PACU between the two groups(P>0.05). The mean arterial pressure and heart rate in group T were lower than those in group C at the time of extubation and in PACU(P<0.05). The emergence agitation scale in group T was lower than in group C(P<0.01). There was no significant difference in incidence rate of PONV and respiratory depression between two groups. Conclusion TEAS can reduce emergence agitation in children with sevoflurane?induced general anesthesia,but not prolong extubation time,awaking time and time in PACU. In addition,it does not increase the incidence of respiratory depression.
