针药结合麻醉在大脑功能区手术中的临床应用

作者	单位
严惠昌	上海医科大学华山医院!上海200040
江澄川	上海医科大学华山医院!上海200040
梁伟民	上海医科大学华山医院!上海200040

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中文摘要:

目的 :采用针药结合麻醉进行大脑功能区手术 ,观察该法能否达到手术对肿瘤的高切除率和对功能的低致残率。方法 :按照手术两种入路方式 ,采用两组不同的体针加耳针穴位组合。结果 :80例患者中肿瘤位于语言中枢 2 0例 ,位于感觉运动中枢 60例 ,均取得满意效果 ,针麻Ⅰ级率达 1 0 0 % ,术后未见语言障碍或功能障碍加重 ,5例术后肢体肌力降低 ,感觉障碍加重 ,均在术后 2～ 4周恢复正常。结论 :此方法具有肿瘤的高切除率、低致残率优点 ,可作为常规麻醉方法之一。

英文摘要:

Objective: To reach for higher tumor resection rate and low incidence of disability by operation with combined acupuncture drug anesthesia in cerebral functional area.Methods: According to the different operation ways, two groups of combination of body acupuncture and ear acupuncture were adopted.Results: Satisfactory effect was obtained in all the 80 patients, including 20 cases in language center and 60 in sensory and motor center. The anesthesia grade 1 rate was 100%. After operation, no aggravation in dysphasia or dysfunction was found, 5 cases showed aggravation on myasthenia and dysesthesia, but all recovered within 2～4 weeks. Conclusion: Operation with combined acupuncture drug anesthesia might result high tumor resection rate and low incidence of disability, therefore, this method of anesthesia could be regarded as one of the routine anesthesia methods.

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