Article(id=1305171230101889716, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260178, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1756051200000, receivedDateStr=2025-08-25, revisedDate=1775059200000, revisedDateStr=2026-04-02, acceptedDate=null, acceptedDateStr=null, onlineDate=1789106670165, onlineDateStr=2026-09-11, pubDate=1789833600000, pubDateStr=2026-09-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789106670165, onlineIssueDateStr=2026-09-11, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789106670165, creator=13701087609, updateTime=1789106670165, updator=13701087609, issue=Issue{id=1305171206701871960, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='9', pageStart='1', pageEnd='133', issueExtLink='null', onlineDate='null', pubDate='1789833600000', pubDateStr='2026-09-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1789106664586, creator='13701087609', updateTime=1789106805687, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1305171798593663109, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1305171798593663110, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1305171206701871960, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=43, endPage=48, ext={EN=ArticleExt(id=1305171230265467573, articleId=1305171230101889716, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Influence of Electroacupuncture at Different Frequencies on Tracheal Intubation Stress Response and Incidence of PONV in Patients Undergoing Spinal Surgery Under General Anesthesia, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective: To analyze the effects of electroacupuncture at different frequencies on the tracheal intubation stress response and the incidence of postoperative nausea and vomiting (PONV) in patients undergoing spinal surgery under general anesthesia.
Methods: A total of 168 patients who underwent spinal surgery under general anesthesia at the Seventh People's Hospital of Shanghai from September 2024 to February 2025 were selected. These patients were randomly divided into the control group (Group C), the low-frequency electroacupuncture group (Group L), and the high-frequency electroacupuncture group (Group H) using a random number table, with 56 patients in each group. The changes in hemodynamic parameters and serum stress hormone levels before and after tracheal intubation were compared among the three groups, and the incidence of postoperative nausea and vomiting (PONV) at 6 hours and 24 hours after surgery was recorded.
Results: Compared with group C, the heart rate (HR) and mean arterial pressure (MAP) in group L significantly decreased at T2 to T4 (P <0.05) ; compared with group L, the HR and MAP in group H significantly decreased at T2 to T4 (P < 0.05). Compared with group C, the serum levels of epinephrine (E), norepinephrine (NE), and cortisol (Cor) in group L significantly decreased at T4 and T5 (P <0.05) ; compared with group L, the serum levels of E, NE, and Cor in group H significantly decreased at T4 and T5 (P < 0. 05). The incidence of PONV in group L and group H at 6 hours and 24 hours was significantly lower than that in group C (P <0.05), but there was no statistically significant difference between group L and group H (P >0.05).
Conclusion: EA can effectively reduce the stress response of intubation in general anesthesia patients undergoing spine surgery and reduce the incidence of postoperative PONV. Among them, 100 Hz EA has a better effect in stabilizing hemodynamics and inhibiting the release of stress hormones, while 2 Hz low frequency EA has a comparable antiPONV effect with 100 Hz EA.
, authors=Tingting WANG
1, Yong CUI
1, Weifang JIN
2, Xiaoli ZHAO
1, Jianhua XIA
3, authorsList=Tingting WANG, Yong CUI, Weifang JIN, Xiaoli ZHAO, Jianhua XIA, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1305171230584234678, articleId=1305171230101889716, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=不同频率电针对全身麻醉脊柱手术患者气管插管应激反应及PONV发生率的影响, columnId=1303760931671011820, journalTitle=中医药学报, columnName=针灸经络, runingTitle=null, highlight=null, articleAbstract=
目的: 分析不同频率电针对全身麻醉脊柱手术患者气管插管应激反应及恶心呕吐(PONV)发生率的影响。
方法: 选取2024年9月—2025年2月于上海市第七人民医院接受全身麻醉脊柱手术治疗的168例患者,采用随机数字表法将患者分为对照组(C组)、低频电针组(L组)和高频电针组(H组),每组56例。比较三组患者气管插管前后的血流动力学指标、血清应激激素水平的变化,并记录术后6 h、24 h PONV发生率。
结果: 与C组比较,L组T2~T4时心率(HR)、平均动脉压(MAP)显著降低(P < 0.05);与L组比较,H组T2~T4时HR、MAP显著降低(P < 0.05)。与C组比较,L组T4、T5时血清肾上腺素(E)、去甲肾上腺素(NE)、皮质醇(Cor)水平显著降低(P < 0.05);与L组比较,H组T4、T5时血清E、NE、Cor水平显著降低(P < 0.05)。术后6 h、24 h,L组和H组PONV发生率均显著低于C组(P < 0.05),而L组和H组比较差异无统计学意义(P > 0.05)。
结论: 电针可有效减轻全身麻醉脊柱手术患者气管插管应激反应,降低术后PONV发生率。其中 100 Hz高频电针在稳定血流动力学、抑制应激激素释放方面效果更优,而2 Hz低频电针与100 Hz高频电针的抗PONV作用相当。
, authors=王婷婷
1, 崔勇
1, 金卫芳
2, 赵晓丽
1, 夏建华
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王婷婷(1981-),女,硕士,主任医师,从事疼痛、麻醉药药效学及术后认知功能障碍等相关研究。
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王婷婷(1981-),女,硕士,主任医师,从事疼痛、麻醉药药效学及术后认知功能障碍等相关研究。
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