李树人,郭志荣,刘瑛.颈椎间盘突出前入路手术采用针药复合麻醉的临床研究[J].中国中西医结合杂志,1997,(3):148-149 |
颈椎间盘突出前入路手术采用针药复合麻醉的临床研究 |
Clinical Study of Combined Acupuncture-Drug Anesthesia for Anterior Approach Cervical Discectomy |
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DOI: |
中文关键词: 颈椎间盘突出 针药复合麻醉 合谷 内关 杜冷丁 氟哌啶 |
英文关键词:cervical discectomy acupucture-drug anesthesia Neiguan Hegu dolantine droperidol |
基金项目:八五攻关课题 |
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中文摘要: |
目的:观察针药复合麻醉对颈椎间盘突出前入路手术的麻醉效果。方法:观察组取患者双侧合谷、内关穴贴敷电极片,接HANS穴位刺激仪行电刺激,手术开始前静脉滴入杜冷丁和氟哌啶。对照组采用0.5%普鲁卡因局部麻醉加静脉滴入杜冷丁、氟哌啶。结果:两组血液动力学变化无明显差异(P>0.05)。观察组镇痛效果同对照组,并且术后恢复快。结论:针药复合麻醉用于颈椎间盘突出前入路手术是可行的麻醉方法之一。 |
英文摘要: |
To observe the effect of combined acupuncture-drug anesthesia for anterior approach cervical discectomy. Methods: Fifty patients scheduled for anterior approach cervical discectomy were randomized into two groups, the control group (5% procaine combined with drug anesthesia, n= 25 ), and the experiment group (combined acupuncture-drug anesthesia, n = 25). In the experiment group, bilateral acupoints of Neiguan (P6) and Hegu (LI4 ) of the patients were stimulated for 30 minutes by Hans Acupoint Nerve Stimulator through skin electrode while a combination of dolantin 25 mg and droperidol 2. 5mg were administered intravenously during induction. Results:There was no statistical difference of hemodynamic variation between the two groups(P<0. 05). The experiment group could also provide the same anesthesia effect as control group did,as well as it had less postoperative complications, more rapid recovery with less expense. Conclusions: The acupuncturedrug anesthesia for anterior approach cervical discestomy is feasible and it is worthwhile to be widely used in clinical practice. |
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