Objective: To observe the effect of application of acupuncture analgesia enhancing synergists combined with acupuncture anesthesia to pulmonary lobectomy. Methods: Before anesthesia, intramuscular injection of tramado...Objective: To observe the effect of application of acupuncture analgesia enhancing synergists combined with acupuncture anesthesia to pulmonary lobectomy. Methods: Before anesthesia, intramuscular injection of tramadol(100 mg, a weak analgesic) and maxolon (20 mg, for enhancing acupuncture analgesia) and intravenous administration of holoperidol and fentany were given to the patients. 80 cases of patients were randomly divided into acupuncture combined with anesthetic (ACA) group (n=40) and general anesthesia (GA) group (n=40). Acupoints used were Houxi (SI 3), Zhigou (SJ 6), Neiguan (PC 6), Hegu (LI 4), Ximen (PC 4), Yuji (LU 10), Shugu (BL 65), Zulinqi (GB 41), Taichong(LR 3), Taixi (KI 3) and Taibai (SP 3). After insertion of the needles, every acupoint was stimulated by manipulating the needle for 1 min, 3 times altogether. Then intravenous drip of compound fluid of 1% procaine and scoline and endotracheal intubation were conducted. Before pulmonary lobectomy, procaine 0.25% (60 mL) was injected into the local subcutaneous tissues. During operation, the patient was kept basic consciousness. Results: In ACA group, the excellent rate and successful rate were 78% and 100% respectively. In comparison with GA group, the doses of the used anesthetics in ACA group (0.039±0.004 mL/kg/min) were decreased by 45%, being significantly lower than those of GA group (0.071±0.014 mL/kg/min) (P<0.001). Conclusion: Acupuncture combined with anesthetics for pulmonary lobectomy is effective and can lessen patients’ sufferings and thus is an applicable method in clinic.展开更多
文摘Objective: To observe the effect of application of acupuncture analgesia enhancing synergists combined with acupuncture anesthesia to pulmonary lobectomy. Methods: Before anesthesia, intramuscular injection of tramadol(100 mg, a weak analgesic) and maxolon (20 mg, for enhancing acupuncture analgesia) and intravenous administration of holoperidol and fentany were given to the patients. 80 cases of patients were randomly divided into acupuncture combined with anesthetic (ACA) group (n=40) and general anesthesia (GA) group (n=40). Acupoints used were Houxi (SI 3), Zhigou (SJ 6), Neiguan (PC 6), Hegu (LI 4), Ximen (PC 4), Yuji (LU 10), Shugu (BL 65), Zulinqi (GB 41), Taichong(LR 3), Taixi (KI 3) and Taibai (SP 3). After insertion of the needles, every acupoint was stimulated by manipulating the needle for 1 min, 3 times altogether. Then intravenous drip of compound fluid of 1% procaine and scoline and endotracheal intubation were conducted. Before pulmonary lobectomy, procaine 0.25% (60 mL) was injected into the local subcutaneous tissues. During operation, the patient was kept basic consciousness. Results: In ACA group, the excellent rate and successful rate were 78% and 100% respectively. In comparison with GA group, the doses of the used anesthetics in ACA group (0.039±0.004 mL/kg/min) were decreased by 45%, being significantly lower than those of GA group (0.071±0.014 mL/kg/min) (P<0.001). Conclusion: Acupuncture combined with anesthetics for pulmonary lobectomy is effective and can lessen patients’ sufferings and thus is an applicable method in clinic.
