摘要
针刺麻醉曾用于外科各种手术，其中头颈部效果较好，腹部较差。本工作将电针麻醉与硬膜外注射小剂量局部麻醉药相结合（针＋硬组，１５３例）进行胃大部切除手术，与单纯硬膜外组（硬组，９２例）和单纯电针组（针组，１１６例）相比较。采用镇痛效果、肌肉松弛程度及内脏牵拉反应轻重三个指标综合评定，均显示针＋硬组的效果显著优于硬组和针组。针＋硬组局麻药的用量仅为单纯硬组的５４～６０％，而麻醉止痛效果较硬组为佳，说明电针本身的镇痛效果约可相当于全量药物麻醉效果的一半。针＋硬组术后胃肠功能的恢复也较单纯硬膜外组为快。单纯电针组的麻醉效果在三组中位于最低水平。根据以上资料可以得出结论：电针加小剂量硬膜外麻醉是良性胃大部切除手术可供选择的一种麻醉方法。
Abstract Acupuncture anesthesia has been used for various kinds of surgical operationswith various degrees of success.The best results were obtained for operations on the headand neck region I whereas abdominal operations were among the least successful ones. In thepresent Study we used electroacupuncture combined with a low dose epidural anesthesia(Acu+Epi)for subtotal gastrectomy in 153 cases.The results were compared with two controlgroups using epidural anesthesia only(Epi,92 cases),or electroacupuncture only (Acu,116 cases).The comparison was made on 3 aspects:degree of analgesia, muscle relaxationand visceral traction reactions.The results showed that in all 3 indices the 'Acu+Epi
出处
《中国疼痛医学杂志》
CAS
CSCD
1996年第3期135-143,共9页
Chinese Journal of Pain Medicine
