新配穴法针刺麻醉在幕上脑深部及重要功能区手术中的应用

Clinical Application of Acupunctural Anesthesia with New Combination Principle of Acupoints in Supratentorial Craniocerebral Operation of Tumor in Vital Functional Area or Deep Site of Brain

目的总结新配穴法针刺麻醉在幕上脑深部及重要功能区手术中的应用经验。方法将针刺穴位由原来的近节段取穴及手术周围取穴,调整为循经远近配穴法(即新配穴法),对23例幕上脑深部及重要功能区病变的脑肿瘤等患者进行开颅手术。结果23例患者均获得手术成功,其中达I级甲为826%。在中央前后回和语言中枢等这些重要功能区病变的手术中较好地防止了对其功能的误伤。结论新配穴法针刺麻醉在幕上脑深部及重要功能区开颅手术中效果满意。在监测手术对周围正常脑功能的影响,避免对其误伤方面具有独特的优点。

To summarize the experience in applying acupunctural anesthesia (AA) with new combination principle (NCP) of acupoints in supratentorial craniocerebral operation of tumor in functional area or deep site of brain. MethodsWith the acupoints selection of AA changed from the previous combination principle of near segmental and peri operational region to the NCP of near remote along corresponding meridian, craniotomy was carried out under AA in 23 patients. ResultsOperation was performed successfully in all the patients, 82.6% of them with the effectiveness reaching ⅠA grade. In those operated on the vital functional area, such as central anterior/posterior gyrus and language center, the accidental functional injury could be well prevented. ConclusionAA with NCP of acupoints has satisfactory effect in supratentorial craniocerebral operation of functional area or deep site of brain, it is especially valuable in monitoring the effect of operation on function of around normal cerebral area to avoid accident injury.