Control of Acute Postoperative Pain by Transcutaneous Electrical Nerve Stimulation after Open Cardiac Operations: A Randomized Placebo-Controlled Prospective Study
Control of Acute Postoperative Pain by Transcutaneous Electrical Nerve Stimulation after Open Cardiac Operations: A Randomized Placebo-Controlled Prospective Study
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DOI：
10.1532/hsf98.20081083
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发表时间：
2008-10-01
影响因子：
0.6
通讯作者：
Kavuncu, Vural
中科院分区：
文献类型：
--
作者：
Emmiler, Mustafa;Solak, Oezlem;Kavuncu, Vural
目的：我们研究了经皮神经电刺激（TENS）治疗心脏手术后24小时内疼痛的有效性。方法：共60例接受冠状动脉旁路移植术（n = 55）或瓣膜修复术（n = 5）的正中胸骨切开术（MS）的患者随机接受TENS和药物镇痛，安慰剂TENS和药物镇痛，或单独药物镇痛（对照组）。我们记录了每组的疼痛严重程度、镇痛剂摄入量和肺部并发症。结果：MS术后疼痛采用10分视觉模拟评分法（VAS）。TENS、安慰剂TENS和对照组的平均评分在治疗前分别为5.70 +/- 1.78、5.75 +/- 1.83和5.95 +/- 1.63（P> 0.05）;在干预的第12小时分别为2.40 +/- 1.18、3.90 +/- 1.48和3.55 +/- 1.60（P <0.05）。
Objective: We investigated the effectiveness of transcutaneous electrical nerve stimulation (TENS) therapy on pain during the first 24 hours after a cardiac surgical procedure.Methods: A total of 60 patients who had undergone median sternotomy (MS) for coronary artery bypass graft (n = 55) or valve repair surgery (n = 5) were randomized to receive TENS and pharmacologic analgesia, placebo TENS and pharmacologic analgesia, or pharmacologic analgesia alone (control group). For each group we recorded severity of pain, analgesic intake, and pulmonary complications. Pethidine HCL and metamizol sodium were administered for postsurgical analgesia.Results: Pain after MS was measured on a 10-point visual analogue scale (VAS). Mean scores in the TENS, placebo TENS, and control groups, respectively, were 5.70 +/- 1.78, 5.75 +/- 1.83, and 5.95 +/- 1.63 before treatment (P>.05); 2.40 +/- 1.18, 3.90 +/- 1.48, and 3.55 +/- 1.60 on the 12th hour of the intervention (P