针药复合麻醉食管癌根治术临床的应用观察.docVIP

针药复合麻醉食管癌根治术临床的应用观察 　　[摘　要]　目的:将45例食管癌根治术患者随机分为观察组、电极板组 、药麻组,观察组采用穴位电刺激与药物麻醉相结合;电极板组单纯采用穴位电刺激;药麻组采用单纯药物麻醉。结果:前两组麻醉效果明显优于药麻组,心、血管抑制轻,苏醒平稳,恢复快。结论: 针刺复合安氟醚麻醉可作为食管癌根治术麻醉方法之一。 　　[主题词]　针药复合麻醉;针刺麻醉手术;食管肿瘤/外科手术 　　Observation on Clinical Application of Combined Acupuncture Anesthesia in Radical Operation for Carcinoma of Esophagus 　　Tang Yumin?1,Qin Biguang?2,Wang Yanlin?3,et al (1.Sichuan Porvincial Hospital of Tumor,Chengdu 610041;2.Affiliated Hospital of Chengdu University of TCM ;3.The second Affiliated Hospital of Hub ei University of Medicine)[Abstract]　Methods　Fourty?five cases of radical operation of carcinoma of esophagus were randomly divided into observation group,electrode?plate group and drug?anesthesia group.In the observation group and the electrode?plate group bilateral Xiayifeng and Sanyanyluo(TE8)?th rough?Ximen(PC4) were selected and the silver needle or electrode plate was connected to a Han′s Stimulator.In the drug?anesthesia group other treatment was same as the above two groups except acupuncturce and electrode plate anesthesia.Results　The anesthesic effects in the former two groups were significantly superior to that of the drug?anesthesia group,with lighter inhibition of the heart and blood vessels,stable awaking and rapid recovery.Conclusion　Combined acupuncture anesthesia is one of anesthesic methods for radical operation of carcinoma of esophagus. 　　[Key words]　Combined Acup Medic Anesthesia;Acup Anesthesia Operation;Esophageal Neoplasms/surg 　　 　　 　　针灸镇痛是我国传统医学内容之一,但临床实践证明单纯针麻手术尚存在镇痛不全、肌肉松弛欠佳、牵拉反应重等缺点,使其应用受到限制。在现代复合麻醉方法启示下,笔者1年来进行了针刺复合安氟醚全身麻醉食管癌根治手术临床研究,现将结果报告如下。 　　1　对象和方法 　　1.1　一般资料 　　选择45例术前明确诊断、自愿接受手术治疗食管癌患者,均为达到美国麻醉医师学会病情分级标准(ASA)Ⅰ～Ⅱ级,无严重高血压、心脏病史,近期内未服阿片类药物和心血管活性药物,术前血尿常规及肝肾功能、心电图检查基本正常。 　　本研究为随机单盲研究,将45名患者随机分为3组:观察组15例,即针刺复合安氟醚全身麻醉组,男11例,女4例;年龄53.70±8.64岁;体重57.25±7.89 kg。电极板组15例,即电极板穴位刺激复合安氟醚全身麻醉组,男13例,女2例;年龄52.73±7.50岁;体重53.73±8.76 kg。药麻组15例,即单纯安氟醚全身麻醉组,男11例,女4例;年龄56.00±10.27岁;体重53.53±5.65 kg。3组性别、年龄、体重分布无明显差异(P0.05)。 　　1.2　麻醉