电针在麻醉诱导与气管插管中的运用

Application of Electroacupuncture to Anesthesia Induction and Endotracheal Intubation

目的 观察电针在麻醉诱导和气管插管时血流动力学的变化。方法 选择性手术病人 4 0例 ,随机分成电针组和对照组 ,每组 2 0例 ,病人入手术室后记录麻醉前 ,麻醉诱导后 ,气管插管时 ,气管插管后 1、3、5min时收缩压、舒张压、心率。结果 各阶段收缩压和舒张压均低于麻醉前 (P <0 .0 5 ) ,心率无明显差异。对照组插管时收缩压与舒张压明显高于麻醉后 (P <0 .0 5 )。结论 电针内关、神门、膻中穴可以有效抑制气管插管引起的应激反应 。

Objective To observe hemodynamic changes during application of electroacupuncture to anesthesia induction and endotracheal intubation.Methods Forty patients for selective operation were randomly divided into dlectroacupuncture and control groups,20 cases each.The patients’ systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)were recorded before anesthesia,after anesthesia induction,during endotracheal intubation,and at 1 min,3 min and 5 min after endotracheal intubation,after they entered the operation room.Results SBP and DBP were significantly lower in different stages than before anesthesia (P<0.05).HR had no significant difference.SBP and DBP were significantly higher during endotracheal intubation than after anesthesia in the control group(P<0.05).Conclusion Electroacupuncture of Neiguan and Shenmen and acupuncture of Shanzhong can effectively inhibit stress reaction due to endotracheal intubation and stabilize blood circulation.