我院在1979年6月前共作甲状腺针麻手术482例

成功率99.5%

优良率79.0%。男性103例

女性379例。年龄最大73岁

最小16岁。病种有甲状腺腺瘤、甲状腺囊肿(包括腺瘤囊性变)和甲状腺机能亢进。手术方式为甲状腺次全切除。电麻仪用北航57-6或G6805

刺激频率;邻近穴100赫芝

远端穴5～10赫芝

均连续波

刺激强度以病员能耐受的最大刺激强度。针麻效果采用三级评定法

把原Ⅲ、Ⅵ级合并为Ⅲ级

482 cases of thyroid surgery were performed up to June 1979. The successful and excellent rateswere 99.5% and 79% respectively. Among the patients

103 were male and 379 were female. The age of the patients ranged from 16- 73. According to the analysis of data

the analgesic effect of acupuncture anesthesia was to some extentclosely related to the needling points

age

kind of underlying disease

duration of operation and adju-vant drugs

but not related to sex. 1. Comparing the excellent and good rate between the groups of "Futu" "Hegu-Neiguan" as wellas "Zusanli-Shangjuxu" points by means of the X

2

test

the X2 test

the X

2

value was 5.46 (P

>

0.05) showing nostatistical significance. According to the analysis of the 1st and the 3rd grade rate in the above mention-ed groups

the former was in "Futu" group the highest

amounting to 38.7%; the Hegu-Neiguan groupranked 2nd

amounting to 31.9%; and the lowest was in the Zusanli-Shangjuxu group amounting to28.6%. The latter rate in both Futu and Hegu-Neiguan groups amounted to 20%

while in the Zusanli-Shangjuxu group the rate was comparatively lower (25%). 2. Comparing the analytic effect of acupuncture analgesia of different age groups the youth group

the middle aged group and the aged group

the middle-aged group was better than the other two groups

since the excellent rate was the examined by X2 value was 5.46 (P

>

0.05) showing nostatistical significance. According to the analysis of the 1st and the 3rd grade rate in the above mention-ed groups

the former was in "Futu" group the highest

amounting to 38.7%; the Hegu-Neiguan groupranked 2nd

amounting to 31.9%; and the lowest was in the Zusanli-Shangjuxu group amounting to28.6%. The latter rate in both Futu and Hegu-Neiguan groups amounted to 20%

while in the Zusanli-Shangjuxu group the rate was comparatively lower (25%). 2. Comparing the analytic effect of acupuncture analgesia of different age groups the youth group

the middle aged group and the aged group

the middle-aged group was better than the other two groups

since the excellent rate was the examined by X

2

test; the X2 test; the X

2

value of the middle aged-youth groups andthe middle-aged-aged groups were 30.27 and 12.05 respectively being statistically significant (P

<

0.01). 3. Comparing the analgetic effect of acupuncture analgesia according to the underlying diseases

thecysts

adenoma and hyperthyroidism

the X2 value of the middle aged-youth groups andthe middle-aged-aged groups were 30.27 and 12.05 respectively being statistically significant (P

<

0.01). 3. Comparing the analgetic effect of acupuncture analgesia according to the underlying diseases

thecysts

adenoma and hyperthyroidism

the X

2

test showed that the X2 test showed that the X

2

values for cyst-hyperthyroidismgroup and adenoma-hyperthyroidism group were 6.72 and 10.2 respectively

statistically very significant.For the cyst and adenoma group

the X2 values for cyst-hyperthyroidismgroup and adenoma-hyperthyroidism group were 6.72 and 10.2 respectively

statistically very significant.For the cyst and adenoma group

the X

2

value was 0.65 with no statistical significance. 4. Comparing the surgical duration of over three hours with that of below 3 hours

the X2 value was 0.65 with no statistical significance. 4. Comparing the surgical duration of over three hours with that of below 3 hours

the X

2

value was11.24

thus being statistically significant (P

<

0.01). 5. when comparing the analgetic effect of acupuncture analgesia using Adjuvant drug Dolatine alonewith that of the group using Dolatine combined with Scopolamine

the X2 value was11.24

thus being statistically significant (P

<

0.01). 5. when comparing the analgetic effect of acupuncture analgesia using Adjuvant drug Dolatine alonewith that of the group using Dolatine combined with Scopolamine

the X

2

value was 8.42 being statisti-cally very significant (P

<

0.01). 1. It is considered that every needling point has its relative features. It tends to be that the anal-getic effect of adjucent points is better than that of the remote points. 2. It is considered that individual variations exist and the analgetic effect in middle aged people ismore stable than that in the youth and the aged. 3. It is considered that the analgesic effect is affected by adjuvant drugs. The analgesic effect ofusing Dolantine alone is better than using Dolantine combined with scopotamine. 4. It is also considered that the simpler the underlying disease

the easier the surgical operation

and the shorter the surgical duration

the better the effect of acupuncture analgesia. In short

inspite of the good effect of acupuncture analgesia in thyroidectomy

there still exists thedisadvantage of incomplete analgesia and many other factors that effect the results. If the appropriatepoints are well selected

and adjuvants applied resonably the surgical techniques are improved and the con-fidence of patients in acupuncture analgesia is fully encouraged

the analgesia effect can certainly beenhanced.