中医药学报

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

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王婷婷 ¹ , 崔勇 ¹ , 金卫芳 ² , 赵晓丽 ¹ , 夏建华 ³

中医药学报 | 针灸经络 2026,54(9): 43-48

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中医药学报 |针灸经络 2026 , 54 (9) : 43 -48

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

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王婷婷¹, 崔勇¹, 金卫芳², 赵晓丽¹, 夏建华³

作者信息

^1．上海中医药大学附属第七人民医院，上海 200137

^2．上海交通大学医学院附属瑞金医院古北分院，上海 201103

^3．上海市浦东新区人民医院，上海 200137

作者简介:

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。

Influence of Electroacupuncture at Different Frequencies on Tracheal Intubation Stress Response and Incidence of PONV in Patients Undergoing Spinal Surgery Under General Anesthesia

Tingting WANG¹, Yong CUI¹, Weifang JIN², Xiaoli ZHAO¹, Jianhua XIA³

Affiliations

^1.The Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China

^2.Gubei Branch of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 201103, China

^3.Shanghai Pudong New Area People's Hospital, Shanghai 200137, China

出版时间: 2026-09-20 doi: 10.19664/j.cnki.1002-2392.260178

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摘要

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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。

关键词

电针 / 全身麻醉 / 脊柱手术 / 气管插管 / 应激反应 / 恶心呕吐

Abstract

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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.

Key words

Electroacupuncture / General anesthesia / Spinal surgery / Tracheal intubation / Stress response / Nausea and vomiting

引用本文

王婷婷, 崔勇, 金卫芳, 赵晓丽, 夏建华. 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. 中医药学报, 2026 , 54 (9) : 43 -48 . DOI: 10.19664/j.cnki.1002-2392.260178

Tingting WANG, Yong CUI, Weifang JIN, Xiaoli ZHAO, Jianhua XIA. Influence of Electroacupuncture at Different Frequencies on Tracheal Intubation Stress Response and Incidence of PONV in Patients Undergoing Spinal Surgery Under General Anesthesia[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (9) : 43 -48 . DOI: 10.19664/j.cnki.1002-2392.260178

基金

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上海市卫生健康委员会科研项目(202340099)

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2026年第54卷第9期

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文章信息

doi: 10.19664/j.cnki.1002-2392.260178

接收时间：2025-08-25
首发时间：2026-09-11
出版时间：2026-09-20

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出版历史

收稿日期：2025-08-25
修回日期：2026-04-02

基金

上海市卫生健康委员会科研项目(202340099)

作者信息

^1．上海中医药大学附属第七人民医院，上海 200137

^2．上海交通大学医学院附属瑞金医院古北分院，上海 201103

^3．上海市浦东新区人民医院，上海 200137

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https://castjournals.cast.org.cn/joweb/zyyxb/CN/10.19664/j.cnki.1002-2392.260178

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2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
小菇科 Mycenaceae	2	12	5.74	丝盖伞属 Inocybe	5	2.39
多孔菌科 Polyporaceae	8	14	6.70	蜡蘑属 Laccaria	5	2.39
红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
				小菇属 Mycena	11	5.26
				光柄菇属 Pluteus	5	2.39
				红菇属 Russula	17	8.13
				栓菌属 Trametes	5	2.39

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