| 王保国,王恩真,陈新中,孙峰丽,杨恩华.开颅手术针麻－安氟醚复合麻醉的研究[J].,1994,(1):10-13,3 |
| 开颅手术针麻－安氟醚复合麻醉的研究 |
| A Study on Combined Acupuncture and Enflurane Anesthesia for Craniotomy |
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| DOI： |
| 中文关键词: 开颅手术 针刺麻醉 安氟醚 血流动力学 |
| 英文关键词:craniotomy acupuncture anesthesia enflurane hemodynamics |
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| 中文摘要: |
| 本研究观察了针麻－安氟醚复合麻醉和针麻－安氟醚－局麻复合麻醉用于开颅手术的临床效果及对血流动力学的影响，并与安氟醚全麻进行对比分析。结果表明：针麻－安氟醚复合麻醉和针麻－安氟醚－局麻复合麻醉可明显降低安氟醚的吸入浓度和用量，减轻安氟醚的心血管抑制，患者恢复快而平稳，具有明显的社会和经济效益，值得临床推广应用。 |
| 英文摘要: |
| The reinforcing effect of transcutaneous acupoint electric stimulation(TAES)with enflurane anesthesia during craniotomy was studied.110 neurosurgical patients were randomly divided into three groups.Anesthesia was maintained with enflurane in group A(n=40);in group B,enflurane anesthesia was supplemented by TAES with Han’s acupoint nerve stimulator(HANS)at Hegu,Yuyao and Fengchi points on the operated side(n=40);in group C, enflurane anesthesia was supplemented by TAES and scalp infiltration with 0.5% procaine (n=30).The results showed that the minimum alveolar concentration(MAC)of enflurane in group B and C decreased 37.8-47.0% and 42.1-66.1% respectively than that in group A.The hemodynamics was more stable during operation,and the patients recovered faster after operation in group B and C.It was concluded that TAMS with HANS significantly potentiated the anesthetic effect and decreased the side effects of enflurane during operation,and that the triple combination of TAES,enflurane and scalp infiltration with procaine proved to be a better anesthetic method for craniotomy. |
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