针麻下阑尾切除术我院已积累了2

000余例临床资料

取得了一些关于如何提高针麻阑尾切除术效果的粗浅体会。1979年选择了针麻和腰麻阑尾切除术各200例对照

通过术中、术后观察随访

进一步肯定针麻阑尾切除术的效果和适应症的选择。分析如下: 资料分析针麻阑尾切除术200例中男80例

女120例

年龄最小10岁

最大78岁。急性单纯型This paper reports a comparison of the results of each 200 csaes of appendectomy under acupuncture anesthesia and lumbar anesthesia respec- tively. We have performed appendectomy in more than 2000 cases under acupuncture anesthesia

from which we selected 200 cases to compare with the same number of cases with similar clinical picture and severity of disease. Observation on the operative procedure and follow-up examiniation further proved that acupuncture anesthesia gave satisfactory results for appendectomy. Excellent results were obtained in 83.5% of cases

successful results in 95.5%

comparable to that in 96.5% cases under lumbar anesthesia. The incidence of adverse reactions such as nausea

vomiting

lowering of blood pressure

bradycardia and contraction of abdominal viscera was significantly lower in acupuncture anesthesia group than in lumbar anesthesia group. But in completeness in the control of pain with acupuncture anesthesia is a problem. In order to overcome this unpleasant situation

in addition to the proper selection of acupuncture points and appropriate manipulation of needles

we used 1-2 ml 2% lidocaine locally

which often lessen ed the pain satisfactorily. This indicates that the use of acupuncture in combi nation with drug is a good method which will enhance the effective ness of anesthesia on one hand and lessen the incidence of adverse reaction thus making the operation more safe on the other. Complications were less and milder

and recovery was faster in patients of acupuncture anesthesia group than in the lumbar anesthesia group. The patients in the former group usually did not need fluid infusion and dolantin in infusion after operation. From the above data we considr that acupuncture has an analgesic property and is able to enhance the immunity of human body resulting in a recovery of its normal function. The combination of acupuncture and drug is a good anesthetic mathod for appendectomy.