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武汉医学院第二附属医院口腔科
纸质出版日期:1985
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辜祖谦, 王燕秋, 殷孝蓉, 等. 针刺麻醉拔牙术临床研究总结(附3,150例次效果分析[J]. 针刺研究, 1985,(1):1-5.
)THE CONCLUSIONS OF CLINICAL RESEARCH ON TOOTH EXTRACTION UNDER ACUPUNCTURE ANESTHESIA[J]. Acupuncture research, 1985, (1): 1-5.
我科自1973年3月至1983年2月行针麻拔牙的临床研究
现将资料整理如下: 针麻拔牙的方法本组除41例次手捻针外
全部用针麻仪进行电刺激
所使用之针麻仪共4种
按所使用次数的多寡为序:G6805、CDM-2、CDM-5及北京626-7A(以下简称为G05、2型、5型、7A)其波型及所使用的频率各异。按所选穴位进针
不管“得气”否
正极导联于主穴针上
绝大多数使用2穴(主配穴各一)
用2型仪者有132例次曾用单针独穴。刺激强度除用5型者外
多以思者能够耐受而无肌痉挛为度。一般诱导时间为5′~14′
最常用7′~11′。
This paper is a resume of the results or clinical research on tooth ext- ractions under acupuncture anesthesia (AA) during the 10 year pericd from March 1972 to Feb.1983 in our department
the number totaling 3
150 cases. There were 3
691 permanent teeth which were extracted. The majority of them were stimulated by the electric current with acu- puncture anesthesia apparatus (AAA) and the five acupoints in the maxill- of acial region were used
i.e. Renkuang
Chenghai
Bichungou
Yaojishang and Xiachicao. The effcts of AA were divided into 4 grades. The rates of Ⅰ and Ⅱ grades were from 60.01-86.73%
which averaged 80.12% in all caese. Several main data were analysed statistically: There appeared te be no relationship between the effect of tooth extr- actions under AA and sex(P>0.05) The age of patients had relation to the effects of tooth extractions under AA
those younger than 15
the effects of AA were worse than the other groups (P<0.01). The relation between the induction time and the effects of AA
there was no significant difference in every group (P>0.05). Usually
7'-14' were used. There seems to be no relation between the duration of operation and the effect of AA (P>0.05). The position of teeth showed reationship to the effects of tooth extra- ction under AA: the maxillary ones were superior to the mandibular ones
the anterior ones were superior to the posterior ones
the effects of AA of anterior teeth in maxilla were the best
while the effects of AA in lower molars were poor (P<0.01). The acupoints had relative particularity. Among the acupoints which showed significant differenoe in the effect of AA
Xiachicao proved poor (P<0.01). Type of diseases operated upon: tooth extractions for prosthesis & or- thodontics etc
had the best effects in AA
but the impacted teeth and tooth extractions in acute inflammatcry states had poor effects (P<0.01). In our opinion
tooth extactions under AA have many advantages: Th- ere are convenience and safety
but no severe complications and no alleric reactions
the postoporative reactions are mild. The majority of patients need no sadatves. It may be considered that the intensity of electrical stimulation is stadle the frequency being equal
adjustabe
persistent
and easy of control. Better AAA could raise the rates of grades Ⅰ and Ⅱ. The authors suggest that this method might be used more widely exce- ptng the impacted teeth
tooth extraction during acute inflammatory states and non-vital teeth in all of which AA can still be used in selected cases.
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