针刺复合小剂量硬膜外麻醉胆囊切除术操作规程(试行)

The Operating Rules for Cholocystectomy with Acupuncture in Combination with Epidural Anesthesia

This article informs that based on the clinical research results of the scientific and technological project of the “9th Five Year Program" ——acupuncture combined with small dose of epidural anesthetic for cholecystectomy, the operating rules of the anesthesia and the rules of the operation of cholecystectomyhave have been worked out. The anesthesia operating rules comprise 1) clinical indications of anesthesia: a) indications, and b) relative contraindications; 2) preparations prior to the anesthesia: a) understanding patients’ conditions, and b) drug application before operation; 3) anesthetic method: a) acupuncture method, bilateral Neiguan (PC 6) and Zusanli (ST 36), stimulated with 2～3 mA for EA and frequency 2/15 Hz, 15～30 min, and b) epidural anesthesia (penetrative location T 7～8 or T 8～9 ); 4) anesthesia control; and 5) post anesthesia management. The operating rules of the operation include a) indications of operation; b) anesthesia; c) incision location; and d) procedures of operation.