全子宫切除术是妇科常见的手术

麻醉要求除要有良好的镇痛效果外

肌肉松弛及抗牵拉反应等亦很重要。针麻子宫切除术虽然具有生理干扰小、术后恢复快等优点

但部分病例由于镇痛不全

肌肉紧张

鼓肠等影响手术操作

进而影响针麻的临床应用。而最常用的硬膜外麻醉

虽然麻醉效果好

但术中生理干扰大

术后恢复较慢。本文用针刺及硬膜外腔注入小剂量局麻药相结合的针刺复会麻醉方法

以期扬长避短

探求改This paper reported about the acupuncture anesthesia combined with low dosage of medicine for epidural anaesthesia for the abdominal hyste- rectomy. The low dosage of medicine is 1 per cent lidocaine containing 1:400000 of adrenalin and we use 1 ml per 10 kg of body weight

45 minutes later we will add in half of the dosage as the former. It is the standard of su- ccess during operation

the patient feels no pain

the relaxation of the muscles are better so the exposing of the field of operstion is excellent

the stretch effect of the pelvic and abdominal viscera is light

no intestinal tympanites. The success rate of acupuncture combined group (AC group) is 86.25% but control group is 8%. After operation the patient of AC group calls pain and needs the ana- lgesic medicine are less than the other methods of anesthesia(p<0.05). The time of expell gas is earlier(p<0.01). During operation the average systolic pressure in two groups are also tends to decrease than preoperatiom but contrast group is more than AC group. Itwas recognized that the acupuncture combined anesthesia collected the merit of both method of epidural and acupuncture anaesthesia.