辨证分型对针麻疝修补术优级率的影响

INFLUENCE OF DIFFERENTTYPES OF SYNDROME ON THE RISING OF EXECELLENT RESPONSE RATE IN HERNIA REPAIR WITH ACUPUNCTURE ANESTHESIA

通过长期针麻手术临床观察我们认为,辨证分型与针麻效果有密切关系,辨证分型与针麻效果在针麻甲状腺等手术中己有报导,但有关针麻疝修补术尚未见报导。

In ordr to raise the rate of excellent response in repair of hernia with acupunctre anesthesia, we valued individual difference in the light of basic theory of traditional Chinese medicine, 70 cases were typed by symptoms and signs before hernia operation with acupuncture anesthesia in which 48 cases were yang-deficiency type and 22 cases yin-deficiency type, besides, 30 cases of peridural anesthesia were as the controls. 1. Acupuncture Group. ①Low-frequency electro-needling (1/scc) was applied to Zusanli (ST36) and Sanyinjiao (SP 6), while high-frepueney electroneedling (10/sec) applied to the incisional edge, ②The electrowaves and intension of stimulation were changed by regular time to maintain the best needling sensation.③Small doses of adjuvants were used together with acupuncture, which shows synergism clearly (fentanyl, 2ug/kg, fentanyl/droperidol, 1/50, the dose depending on the condition of patients in operation). 2. The Controls; Routine, peridural anesthesia and adjuvants were used. The same observation was given as the acupuncture group. Results:I. the response rate of yang-deficiency type was 97.9%, the excellent response rate 75%, while the response rate of yin-deficiency type was 90.8% and its excellent response rate 45.4%. The response rate of the groups was no significent differene (P>0.05), but the excellent respones rate of the two differed significently, the excellent response rate of yang-deficiency type was better than that of yin-deficiency type (P<0.05).Ⅰ. The total dose of adjuvants in the acupuncture group was small, Ⅲ. The blood pressure was stable during operation compared with that of the controls (P<0.005).Ⅳ. The intermission of food intake and exsufflation after operation was also shorter than that of the controls.