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针麻配合浅颈丛神经阻滞行颈椎病减压术81例临床观察

Clinical observation on the depression of 81 cases with cervical vertebra disease under acupuncture anesthesia combined with superficial cervical plexus block

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【作者】 王梦敏; 马君志; 吴言钧; 王宗学;

【Author】 Wang Mengmin, et al Department of Anesthesiology, The First Affiliated Hospital Henan Medical University

【机构】 河南医科大学一附院麻醉科; 河南医科大学一附院麻醉科;

【摘要】 针麻复合浅颈丛神经阻滞下,行颈椎病(右前入路)减压术81例。选穴:合谷、内关(双侧);连续波;频率:100~200次/分;刺激强度以病人能耐受为宜;诱导20~30分钟后,双侧浅颈丛神经用0.5%利多卡因阻滞,每侧0.5~10ml。术前鲁米那0.1g肌注;切皮前杜冷丁50mg肌注。切除病骨前用1~2%利多卡因0.5ml喷洒颈前筋膜。麻醉收到良好效果。

【Abstract】 The depression of 81 cases with cervical vertebral disease(right approach) was achieved under acupuncture anesthesia combined with superficial cervicol alplexus block. The two acupuncture points needled were Hoku and Neikuan (bilateral).A transistor producing continuous wave was used and thefrepuency was 100--200/min.The strength of stimulation would be tolerable by the par tients. 20—30 minutes after induction, the nerves of the bhe bilateral superficial ceivical plexus was blocked with 5—10 ml of 0.5%1 idocaine. Muscularinjection of 0.1g of sod.luminal for premeditation was performed. 50mg of dolantine was injucted intramuscularly just before incision. The facial membrane of anterior cervices was sprayed with 0.5ml of 1--2% lidocaine at once. The results of anethesia were satisfactory.

【关键词】 针刺麻醉; 穴位; 颈椎病;
【Key words】 acupuncture anesthesia; cervical vertebra; point;
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