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针刺镇痛应用于电视胸腔镜肺手术临床研究

Clinical Study on the Application of Acupuncture Anesthesia to Pulmonary Operation under Vedio Thoracoscope

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【作者】 周红; 童稳圃; 刘圣灵; 张敏;

【Author】 Zhou Hong, Tong Wenpu, Liu Shengling, Zhang Min (Shanghai Lung Disease Hospital, Shanghai, 200433)

【机构】 上海市肺科医院!上海200433;

【Abstract】 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.

【关键词】 针刺镇痛; 足临泣; 郄门; 束骨; 循经取穴; 上肢穴; 捻针; 肺叶切除; 巨刺; 支沟;
  • 【文献出处】 针刺研究 ,Acupuncture Research , 编辑部邮箱 ,2001年03期
  • 【分类号】R246.2
  • 【被引频次】4
  • 【下载频次】75
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