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1、·安徽医科大学硕士学位论文EffectsofTranscutaneousElectricalAcupointStimulationonPostoperativeAgitationinChildrenundergoinganAdenotonsillectomyAbstractObjectiveToinvestigatetheEffectsofTranscutaneousElectricalAcupointStimulation(TEAS)combinedwithgeneralanesthesiaonp
2、ostoperativeagitationandhemodynamicsinchildrenundergoinganadenotonsillectomyandtonsillectomy.MethodsSixtypatientswithASAI-IIscheduledforundergoinganadenotonsillectomyandtonsillectomywererandomlyassignedtothefollowingtwogroups:TEAS(groupT,n=30)andcontro
3、lled(groupC,n=30).GroupTreceivedcontinuousTEASatpointsheguandneiguan30minbeforeanesthesiainductiontilltheendofoperation.Inbothgroups,anesthesiawasinducedwithmidazolam,fentanyl,propofol,atracuriumandmaintainedwithremifentanyil,propofolandatracurium.Ifth
4、epatientemergenceinconsolableafteroperation,infusionfentanyl0.5-1μg/kgwasadministered.Theheartrate(HR),saturationofpulseoxygen(SpO2),meanarterialbloodpressure(MAP),bispectralindex(BIS)weremonitoredduringandafteroperation.Thetimeoftheanesthesiaandoperat
5、ion,ThetimeinPACU,Postoperativenauseaandvomiting(PONV),thedosageofthepropofolandremifentanyilwererecorded.ObservedchangesofplasmalevelofBeta-endorphinβ-EP),epinephrine(E),norepinephrine(NE)andcortisol(COR).Agitation(evaluatebypediatricanesthesiaemergen
6、cedelirium,PAED)Scaleandanalgesia(evaluatedbyfacespainscale-revised,FPS-R)wasassessedjustaftertrachealextubation,5minutes,10minutes,15minutesand30minuteslateraftertrachealextubation.Finally,statisticalanalysiswasperformedusingSPSSversion13.0.Resultsare
7、reportedasmean±7···安徽医科大学硕士学位论文standarddeviationformeasurementdatafittingthenormaldistribution.Thestatisticalsignificanceofdifferencesbetweengroupswasanalyzedusingtheone-wayanalysisofvariance(ANOVA)andgroupswerecomparedusingarepeatedmeasuresdesignanaly
8、sisofvariance.PAEDscoreandFPS-RofscoretothemedianscorewerecomparedusingtheMann–WhitneyU-test.ResultsTwogroupsofpatients'gender,age,weight,anesthesiatime,operativetimedifferenceswerenotstatisticallysignificant(P>0.05).GroupCinthepostoper
