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J Am Coll Surg：电抽搐肌内刺激有助于快速减轻PPPD术后出现的躯体疼痛

2021-04-14 MedSci原创 MedSci原创

电抽搐肌内刺激保留幽门的胰十二指肠切除术
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保留幽门的胰十二指肠切除术(PPPD)后，腹部肌肉的切口和缝合会引起炎症变化，引起躯体疼痛，使患者的生活质量下降。近日，研究人员进行了一项临床试验，旨在探究电抽搐肌内刺激（NETOIMS）在腹部开腹手

保留幽门的胰十二指肠切除术(PPPD)后，腹部肌肉的切口和缝合会引起炎症变化，引起躯体疼痛，使患者的生活质量下降。近日，研究人员进行了一项临床试验，旨在探究电抽搐肌内刺激（NETOIMS）在腹部开腹手术术后躯体疼痛控制中的效果，研究结果已发表于J Am Coll Surg。

2018年6月至2019年1月，研究人员将44例接受PPPD的患者随机分配至对照组和NETOIMS组。NETOIMS组在全麻下术后即在超声引导下接受腹横肌NETOIMS。从术前1天至出院后2周重复测量疼痛评分（视觉模拟量表）、咳嗽峰值流量（PCF）和步态速度。采用线性混合模型和重复测量方差分析数据。

 

在招募的44名患者中，最终分析了38名患者的数据。分析结果显示，PPPD后NETOIMS组的疼痛评分明显降低（P=0.01）。虽然各测量时间点的PCF未出现组间差异（p = 0.20），但NETOIMS组术后第二天至出院的PCF改善幅度更大（p = 0.02），步态速度改善速度明显快于对照组（p <0.01）。

保留幽门的胰十二指肠切除术后针电抽搐获得肌内刺激（NETOIMS）的结果

综上所述，该研究结果表明，NETOIMS有助于快速减轻PPPD术后出现的躯体疼痛，改善PCF和步态速度。

 

原始出处：

 

Jinyoung Park, et al., Effectiveness of Intramuscular Electrical Stimulation on Postsurgical Nociceptive Pain for Patients Undergoing Open Pancreaticoduodenectomy: A Randomized Clinical Trial. J Am Coll Surg. 2020 Sep;231(3):339-350. doi: 10.1016/j.jamcollsurg.2020.06.008. Epub 2020 Jul 2.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1783389, encodeId=b1571e8338900, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Mon Jan 24 09:57:17 CST 2022, time=2022-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575900, encodeId=36c615e590053, content=<a href='/topic/show?id=851d56099f9' target=_blank style='color:#2F92EE;'>#抽搐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56099, encryptionId=851d56099f9, topicName=抽搐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76dc16248227, createdName=gujh, createdTime=Thu Apr 15 14:57:17 CST 2021, time=2021-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956832, encodeId=2b4c956832db, content=就是<a href='/topic/show?id=66ed9628563' target=_blank style='color:#2F92EE;'>#针灸#</a>的原理呀。这里用电抽搐肌内刺激新名词, beContent=null, objectType=article, channel=null, level=null, likeNumber=254, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96285, encryptionId=66ed9628563, topicName=针灸)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=小小医者, createdTime=Wed Apr 14 10:24:12 CST 2021, time=2021-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956750, encodeId=0460956e50a5, content=三人行，必有我师。 <a href='/topic/show?id=d55f104233bd' target=_blank style='color:#2F92EE;'>#梅斯医学科研互助群#</a> 欢迎您的加入，添加【梅斯医学科研助手WeChat：medsci_2021】邀您进群！ 【社群简介】👉 梅斯医学目前已建立覆盖肿瘤、心血管、神经、消化、内分泌、呼吸等30个科室的学习交流社群。 【入群福利】👉 群内可实时交流病例，提问同行，跨群讨论，每天更新前沿医学资讯和指南共识，每周推出至少1场专业直播，不时共享科研干货，入群即可获得100份SCI写作攻略！, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104233, encryptionId=d55f104233bd, topicName=梅斯医学科研互助群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/08ec7710e47c4f6dba6c277207bf00ec/823f09e953ea44188e56b38cd2f16334.jpg, createdBy=ec565230154, createdName=梅干儿, createdTime=Wed Apr 14 00:11:46 CST 2021, time=2021-04-14, status=1, ipAttribution=)]
    2022-01-24 waiwai3030

    #Coll#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1783389, encodeId=b1571e8338900, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Mon Jan 24 09:57:17 CST 2022, time=2022-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575900, encodeId=36c615e590053, content=<a href='/topic/show?id=851d56099f9' target=_blank style='color:#2F92EE;'>#抽搐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56099, encryptionId=851d56099f9, topicName=抽搐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76dc16248227, createdName=gujh, createdTime=Thu Apr 15 14:57:17 CST 2021, time=2021-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956832, encodeId=2b4c956832db, content=就是<a href='/topic/show?id=66ed9628563' target=_blank style='color:#2F92EE;'>#针灸#</a>的原理呀。这里用电抽搐肌内刺激新名词, beContent=null, objectType=article, channel=null, level=null, likeNumber=254, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96285, encryptionId=66ed9628563, topicName=针灸)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=小小医者, createdTime=Wed Apr 14 10:24:12 CST 2021, time=2021-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956750, encodeId=0460956e50a5, content=三人行，必有我师。 <a href='/topic/show?id=d55f104233bd' target=_blank style='color:#2F92EE;'>#梅斯医学科研互助群#</a> 欢迎您的加入，添加【梅斯医学科研助手WeChat：medsci_2021】邀您进群！ 【社群简介】👉 梅斯医学目前已建立覆盖肿瘤、心血管、神经、消化、内分泌、呼吸等30个科室的学习交流社群。 【入群福利】👉 群内可实时交流病例，提问同行，跨群讨论，每天更新前沿医学资讯和指南共识，每周推出至少1场专业直播，不时共享科研干货，入群即可获得100份SCI写作攻略！, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104233, encryptionId=d55f104233bd, topicName=梅斯医学科研互助群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/08ec7710e47c4f6dba6c277207bf00ec/823f09e953ea44188e56b38cd2f16334.jpg, createdBy=ec565230154, createdName=梅干儿, createdTime=Wed Apr 14 00:11:46 CST 2021, time=2021-04-14, status=1, ipAttribution=)]
    2021-04-15 gujh

    #抽搐#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1783389, encodeId=b1571e8338900, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Mon Jan 24 09:57:17 CST 2022, time=2022-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575900, encodeId=36c615e590053, content=<a href='/topic/show?id=851d56099f9' target=_blank style='color:#2F92EE;'>#抽搐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56099, encryptionId=851d56099f9, topicName=抽搐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76dc16248227, createdName=gujh, createdTime=Thu Apr 15 14:57:17 CST 2021, time=2021-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956832, encodeId=2b4c956832db, content=就是<a href='/topic/show?id=66ed9628563' target=_blank style='color:#2F92EE;'>#针灸#</a>的原理呀。这里用电抽搐肌内刺激新名词, beContent=null, objectType=article, channel=null, level=null, likeNumber=254, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96285, encryptionId=66ed9628563, topicName=针灸)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=小小医者, createdTime=Wed Apr 14 10:24:12 CST 2021, time=2021-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956750, encodeId=0460956e50a5, content=三人行，必有我师。 <a href='/topic/show?id=d55f104233bd' target=_blank style='color:#2F92EE;'>#梅斯医学科研互助群#</a> 欢迎您的加入，添加【梅斯医学科研助手WeChat：medsci_2021】邀您进群！ 【社群简介】👉 梅斯医学目前已建立覆盖肿瘤、心血管、神经、消化、内分泌、呼吸等30个科室的学习交流社群。 【入群福利】👉 群内可实时交流病例，提问同行，跨群讨论，每天更新前沿医学资讯和指南共识，每周推出至少1场专业直播，不时共享科研干货，入群即可获得100份SCI写作攻略！, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104233, encryptionId=d55f104233bd, topicName=梅斯医学科研互助群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/08ec7710e47c4f6dba6c277207bf00ec/823f09e953ea44188e56b38cd2f16334.jpg, createdBy=ec565230154, createdName=梅干儿, createdTime=Wed Apr 14 00:11:46 CST 2021, time=2021-04-14, status=1, ipAttribution=)]
    2021-04-14 小小医者

    就是#针灸#的原理呀。这里用电抽搐肌内刺激新名词

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1783389, encodeId=b1571e8338900, content=<a href='/topic/show?id=f16a499652' target=_blank style='color:#2F92EE;'>#Coll#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4996, encryptionId=f16a499652, topicName=Coll)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=07f7192, createdName=waiwai3030, createdTime=Mon Jan 24 09:57:17 CST 2022, time=2022-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1575900, encodeId=36c615e590053, content=<a href='/topic/show?id=851d56099f9' target=_blank style='color:#2F92EE;'>#抽搐#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56099, encryptionId=851d56099f9, topicName=抽搐)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76dc16248227, createdName=gujh, createdTime=Thu Apr 15 14:57:17 CST 2021, time=2021-04-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956832, encodeId=2b4c956832db, content=就是<a href='/topic/show?id=66ed9628563' target=_blank style='color:#2F92EE;'>#针灸#</a>的原理呀。这里用电抽搐肌内刺激新名词, beContent=null, objectType=article, channel=null, level=null, likeNumber=254, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96285, encryptionId=66ed9628563, topicName=针灸)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=小小医者, createdTime=Wed Apr 14 10:24:12 CST 2021, time=2021-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=956750, encodeId=0460956e50a5, content=三人行，必有我师。 <a href='/topic/show?id=d55f104233bd' target=_blank style='color:#2F92EE;'>#梅斯医学科研互助群#</a> 欢迎您的加入，添加【梅斯医学科研助手WeChat：medsci_2021】邀您进群！ 【社群简介】👉 梅斯医学目前已建立覆盖肿瘤、心血管、神经、消化、内分泌、呼吸等30个科室的学习交流社群。 【入群福利】👉 群内可实时交流病例，提问同行，跨群讨论，每天更新前沿医学资讯和指南共识，每周推出至少1场专业直播，不时共享科研干货，入群即可获得100份SCI写作攻略！, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104233, encryptionId=d55f104233bd, topicName=梅斯医学科研互助群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/08ec7710e47c4f6dba6c277207bf00ec/823f09e953ea44188e56b38cd2f16334.jpg, createdBy=ec565230154, createdName=梅干儿, createdTime=Wed Apr 14 00:11:46 CST 2021, time=2021-04-14, status=1, ipAttribution=)]
    2021-04-14 梅干儿

    三人行，必有我师。 #梅斯医学科研互助群# 欢迎您的加入，添加【梅斯医学科研助手WeChat：medsci_2021】邀您进群！ 【社群简介】👉 梅斯医学目前已建立覆盖肿瘤、心血管、神经、消化、内分泌、呼吸等30个科室的学习交流社群。 【入群福利】👉 群内可实时交流病例，提问同行，跨群讨论，每天更新前沿医学资讯和指南共识，每周推出至少1场专业直播，不时共享科研干货，入群即可获得100份SCI写作攻略！

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