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上海医科大学耳鼻喉科研究所,上海,200031
纸质出版日期:2001
移动端阅览
黄鹤年, 田熙, 周潮明, 等. 针药结合麻醉下新声门再造[J]. 针刺研究, 2001,(1):35-37.
Application of Acupuncture Anesthesia Combined with Analgesics to Neoglottis Reconstruction[J]. Acupuncture research, 2001, (1): 35-37.
本文介绍 3 0例针药结合麻醉下行新声门再造术。体针取扶突、合谷穴
术前选用哌替啶、颅痛定、甲氧氯普胺等镇痛药物
行针药复合麻醉
成功率达 96.7%。
Objective: To observe the effect of acupuncture combined with analgesics on neoglottis reconstruction operation in 30 cases of pharyngeal tumor patients. Methods: Bilateral Hegu(LI 4) and Futu(ST 32) were punctured and stimulated electrically for 20 min. Adjuvant medicines pethidine (1 mg/kg)
rotundin (60 mg) and metoclopramide (10 mg) were used for intramuscular injection 15~25 min before operation
combined with local application (pharyngeal mucosa)of 1% dicaine (12 mL) and neck subcutaneous injection of 0.5% procaine (10 mL). Results: Among the 30 cases
the analgesic effects were class I in 20 cases (the patient had no apparent pain reaction during operation
the operation was conducted smoothly and doses of the above mentioned medicines were within the fixed limit); class Ⅱ in 9 cases (the patient experienced slight pain
pethidine was increased in dose (1.5 mg/kg) and the operation could be accomplished smoothly); and class Ⅳ in one case (the patient experienced unbearable pain during operation and the operation could not carried out). The successful rate was 96.7%.Conclusion: Under acupuncture anesthesia combined with analgesics
the neoglottis reconstruction operation achieved a satisfactory result.
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