颈椎间盘突出前入路手术采用针药复合麻醉的临床研究

Clinical Study of Combined Acupuncture-Drug Anesthesia for Anterior Approach Cervical Discectomy

目的：观察针药复合麻醉对颈椎间盘突出前入路手术的麻醉效果。方法：观察组取患者双侧合谷、内关穴贴敷电极片，接ＨＡＮＳ穴位刺激仪行电刺激，手术开始前静脉滴入杜冷丁和氟哌啶。对照组采用０．５％普鲁卡因局部麻醉加静脉滴入杜冷丁、氟哌啶。结果：两组血液动力学变化无明显差异（Ｐ＞０．０５）。观察组镇痛效果同对照组，并且术后恢复快。结论：针药复合麻醉用于颈椎间盘突出前入路手术是可行的麻醉方法之一。

To observe the effect of combined acupuncture-drug anesthesia for anterior approach cervical discectomy. Methods: Fifty patients scheduled for anterior approach cervical discectomy were randomized into two groups, the control group (5% procaine combined with drug anesthesia, n= 25 ), and the experiment group (combined acupuncture-drug anesthesia, n = 25). In the experiment group, bilateral acupoints of Neiguan (P6) and Hegu (LI4 ) of the patients were stimulated for 30 minutes by Hans Acupoint Nerve Stimulator through skin electrode while a combination of dolantin 25 mg and droperidol 2. 5mg were administered intravenously during induction. Results:There was no statistical difference of hemodynamic variation between the two groups(P<0. 05). The experiment group could also provide the same anesthesia effect as control group did,as well as it had less postoperative complications, more rapid recovery with less expense. Conclusions: The acupuncturedrug anesthesia for anterior approach cervical discestomy is feasible and it is worthwhile to be widely used in clinical practice.