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山东省荣成县人民医院
纸质出版日期:1983
移动端阅览
于志勤, 孙之风, 王秀文, 等. 激光穴位照射—硬膜外复合麻醉下溃疡病胃大部切除术[J]. 针刺研究, 1983,(4):252-256.
Yu Zhiqin, Sun Zhifeng, Wang Xiuwen, et al. CLINICAL OBSERVATION OF COMBINED ACU-LASER ANESTHESIA IN SUBTOTAL GASTRECTOMY[J]. Acupuncture research, 1983, (4): 252-256.
正常人体及动物实验证实
激光穴位照射可产生全身性镇痛效果并具有镇痛后效应的特点。应用激光穴位照射代替针刺可以进行多种外科手术
但表现出明显个体差异性。在不同病人、不同程度上仍然存在镇痛不全。我们曾报道用针刺一硬膜外复合麻醉进行胃大部切除术取得满意的效果。自1980年起又应用小剂量硬膜外麻醉方法复合激光穴位照射
既保持了针刺麻醉的特点
又不必再在穴位上针刺
同时提高了针麻的镇痛效果。由于激光穴位照射的镇痛效应可相应减少麻醉剂用量
一定程度上减少了麻醉药物所引起的生理机能紊乱
提高了药物麻醉的安全性。
In order to overcome the defect of acupuncture anesthesia
such as in- completeness of analgesic effect
we performed 24 subtotal gastrectomies with combination of epidural and aculaser anesthesia. The anesthetic effects on subtotal gastrectomy in a group of pateints by using acupuncture anesthesia with "good" (grade 2)effect and in another group by conteanous epidural anesthesia were compared. The following indices were chosen as the observed norms
The average rate of pain
the average rate of referred pain of stomach
the change scale of mean blood pressure and pulse rate
mean total dose of analgesics
mean dose of analgesics per hour and the amount of pressor agent to be used. Result: 1. The analgesic effect of combined acu-laser anesthesia was increased. Blood pressure and pulse rate by this anesthetic method were less affected than by epidural anesthesia. 2. In combined acu-laser anesthesia
the mean total dose of analgesics was reduced by about a half (P<0.05).Mean dose per hour reduced by nearly one third.
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