大量的临床及实验室研究已充分证明

针刺麻醉虽然具有一定的镇痛效应

但仍镇痛不全

为提高针麻的镇痛效果

克服镇痛不全的缺点

我们除术前用综合予测的方法选择适宜针麻的个体外

还应用一些药物麻醉方法来配合针刺麻醉.针麻的镇痛不全可由少量的麻醉药物补足

同时针麻本身的镇痛效应又可减少麻醉药物的用量

因而相应地减少了麻醉药物所引起的生理机能紊乱.我们自1978年起选择针麻效果尚不稳够定的胃大部初除应用针刺复合麻醉方法(下称针麻复合方法)进行临床观察

初步报告如下.The anesthetic effects on subtotal gastrectomy by using acupuncture an- esthesia with“good”(Grade Ⅱ)effect in a group of patient and continuous epidural anesthesia (CEA)in another group were compared. The following indices were chosen as the observed norms

i.e

the rate of average pain

the rate of average referred pain of stomach

the change scales of mean blood pressure and pulse rate

total mean dose of anal- gesic

mean dose of analgesic per hour and the amount of pressor agent to be used. Results:1.With combined acupuncture anesthesia

the analgesic effect was raised to the level corresponding to“good”and“excellent”(Grade Ⅰ)effect of acupuncture anesthesia.The blood pressure and pulse rate were less affected than CEA. 2.In combined acupuncture anesthesia

the total mean dose of analgesic used was decreased more than twice the amount for CEA(P<0.05).The mean dose in an hour decreased nearly one third. 3.In combined acupuncture anesthesia

the amount of various pressor agents used was less than CEA. We propose that such combined anesthetic method be named“Combined acupuncture anesthesia”. For further improving the effect of acupuncture anesthesia and retain- ing its advantages

the use of certain drug to overcome the incompleteness of its analgesic effect is a subject worthy to be discussed and investiga- ted. These observed norms in this report provied a new objective method to estimate the anesthetic effect of clinical acupuncture anesthesia.