不同针刺增效药在针麻肺切除中的疗效观察

Observations on the Effects of Different Acupuncture Synergists in Pneumonectomy under Acupuncture Anesthesia

为了提高针麻肺切除效果。方法用手法针刺加针刺增效药氟哌酊醇、芬太尼静脉复合麻醉５０例作针药麻第一组，又在此基础上，麻醉诱导前５分钟肌肉注射曲马朵１００ｍｇ及针刺增效药灭吐灵２０ｍｇ４０例作针药麻第二组。结果第一组５０例病人针麻效果好３３例，差１７例；第二组中４０例病人针麻效果好３１例，差９例，第二组优于第一组。又将针药麻第一组与全麻对照组各３３例术中无杜冷丁复合液用量作比较Ｐ＜０．０５；针药麻第二组与全麻对照组各４０例中无杜冷丁复合液用量比较Ｐ＜０．００１，第二组明显优于第一组。结论说明加用曲马多和灭吐灵后更能增加针麻术中的镇痛作用，进一步减少术中复合液用量。

Objective To improve the effect on pneumonectomy under acupuncture anesthesia. Methods Anesthesia by manipulated acupuncture plus intravenous injection of acupuncture synergists, holoperidol and fentanyl, was performed in 50 cases(the first group of anesthesia by acupuncture and medicament). On the above basis, 100 g Tramadol and acupuncture synergist, 20 mg metoclopramide were intramuscularly injected 5 min before anesthesia induction in 40 cases(the second group of anesthesia by acupuncture and medicament). Results In the 50 cases of the first group, acupuncture anesthesia had a good effect in 33 cases and a poor effect in 17 cases; In the 40 cases of the second group, acupuncture anesthesia had a good effect in 31 cases and a poor effect in 9 cases. The effect was better in the second group than in the first group. In addition, two separate 33 cases from the first group of anesthesia by acupuncture and medicament and of the control group of general anesthesia were compared(P<0.05); two separate 40 cases from the second group of anesthesia by acupuncture and medicament and of the control group of general anesthesia were compared(P<0.05), without compound dolantin solution during the operation. The effect was significantly better in the second group than in the first group. Conclusion It is indicated that the addition of Tramadol and metoclopramide can further improve the analgetic effect of acupuncture anesthesia and reduce the dose of the compound solution during the operation.