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1. 四川省肿瘤医院麻醉科,成都,610041
2. 中国人民解放军520医院,绵阳,621000
纸质出版日期:2001
移动端阅览
唐育民, 魏湘华, 尹志礼, 等. 针麻开胸手术超前镇痛作用临床观察[J]. 针刺研究, 2001,(3):168-169.
Clinical Observation on Preemptive Analgesia of Electroacupuncture for Patients Undergoing Thoracic Operation[J]. Acupuncture research, 2001, (3): 168-169.
Objective: To observe the effect of preemptive analgesia of electroacupuncture(EA) for patients undergoing thoracic operation. Methods: 54 adult ASA (American Standards for Assessing the State of the Patient of American Anesthesia Association) grade Ⅰ and Ⅱ patients undergoing thoracic operation were randomly divided into three groups. The single blind method was used in the study. Patients in group A (n=18) were given with EA by using Han's Acupoint Nerve Stimulator(HANS) for stimulating Xiayifeng point and Sanyangluo (SJ 8) to Ximen (PC 4; 2/15Hz
2~4 mA and 15~ 20 min) first
then given with inhalational anesthetic (enflurane) and intravenous administration of fentany 2 μg/kg/hr
vecuronium 0.12 mg/kg/0.5 hr and propofol 2 mg/kg
During operation
HANS stimulation was given continuously
and combined with vecuronium 0.12 mg/kg. In group B (n=18)
acupoint surface electrical stimulation (without acupuncture) combined with anesthetics (being same to those of group A) was given. In group C (n=18)
only anesthetics were used. Then
the number of patients needing intramuscular injection of dolantin and the average doses in 3 groups were observed at 0~4 hr
4~8 hr
8~12 hr
12~16 hr
16~20 hr and 20~24 hr after operation. Results: The average dose of the injected dolantin in Group C was significantly higher than those of group A and B(P<0.001). 0~4 hr
4~8 hr
8~12 hr
12~16 hr and 16~20 hr after operation
the number of patients needing intramuscular injection of dolantin in group A
B and C were 2
2 and 9; 1
2 and 7; 1
2 and 6; and 1
3 and 6 respectively. It is clear that the number of patients needing dolantin of group C is evidently more than those of group A and B (P<0.05). Conclusion: Acupuncture stimulation conducted before thoracotomy has a preemptive analgesia effect.
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