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上海市肺科医院,上海,200433
纸质出版日期:2001
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周红, 童稳圃, 刘圣灵, 等. 针刺镇痛应用于电视胸腔镜肺手术临床研究[J]. 针刺研究, 2001,(3):170-171.
Clinical Study on the Application of Acupuncture Anesthesia to Pulmonary Operation under Vedio Thoracoscope[J]. Acupuncture research, 2001, (3): 170-171.
From February of 1997 to December of 2000
the acupuncture and drug anesthesia group applied manual acupuncture combined with intravenous administration of holoperidol and fentany to pulmonary operation under Vedio thoracoscope. 66 cases were randomly divided into acupuncture combined with intravenous injection of anesthetics (ACIIA) group (n=33) and general anesthesia (GA) group (n=33). Acupoints used were Houxi (SI 3)
Zhigou (SJ 6)
Neiguan (PC 6)
Hegu (LI 4)
Ximen (PC 4)
Yuji (LU 10)
Shugu (BL 65)
Zulinqi (GB 41)
Taichong(LR 3)
Taixi (KI 3) and Sanyinjiao (SP 6) and were divided into 3 groups to be taken according to the incision location and the pulmonary operation. After insertion
each needle was manipulated continuously for 1 min
3 times and 18 min altogether. Before anesthesia induction
intramuscular injection of tramadol (100 mg) and maxolon (20 mg) was given
followed by intravenous drip of compound fluid of 1% procaine and scoline. During operation
the acupuncture operator must follow the operation procedures
for example
when the pulmonary lobectomy was conducted and the incision extension needed
Neiguan (PC 6) and Taichong (LR 3) were stimulated with stronger manipulation. If necessary
fentany 0.1~0.2 mg was administered intravenously. Results showed that in ACIIA group
good anesthetic effect was found in 25 cases (78.8%) and the successful rate was 100%. In comparison with general anesthesia control group
the dose of dolantin compound liquid used was decreased by 43.5% per kilogram per minute.
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