针灸治疗仪结合电火针在神经阻滞定位中的应用  

Application of Acupuncture Device plus Electrical Fire Needling to Nerve Block Location

作　　者：肖珍科[1] 王保[1] 周仆[1] 陈陈燕[1] 尧新华[1] 

机构地区：[1]广州中医药大学附属广州市中医医院麻醉科,广东510130

出　　处：《上海针灸杂志》2009年第6期322-323,共2页Shanghai Journal of Acupuncture and Moxibustion

基　　金：2007年广州市中医药;中西医结合科研立项课题

摘　　要：目的观察针灸治疗仪结合电火针在腋路臂丛阻滞神经定位中的应用效果。方法随机选取本院60例拟行前臂、腕部和手部的择期手术患者,被随机分入异感定位组(B组)和针灸治疗仪与电火针结合定位组(A组),每组30例。观察两组臂丛阻滞的操作时间,麻醉起效时间及阻滞后的麻醉效果。结果A组的臂丛阻滞的操作时间明显长于B组(P<0.05),但麻醉起效时间明显短于B组(P<0.05),阻滞后的麻醉效果优良率明显好于B组(P<0.01)。结论用针灸治疗仪与电火针结合用于臂丛阻滞的神经定位,其输出功率、电流强度可调性好,引起肌颤的反应完全能达到神经刺激器同样的效果,经济性及适用性都较好,有一定的临床使用价值。Objective To investigate the effect of application of acupuncture device plus electrical fire needling to nerve location for axillary brachial plexus block. Methods Sixty patients for an elective operation on the forearm, wrist or hand were randomly allocated to an abnormal sensation location group （group B, n=30） and an acupuncture device plus electrical fire needling group （group A, n=30）. The time for performing brachial plexus block, the time for producing the effect and the anesthetic effect following the block were investigated in the two groups. Results The time for performing brachial plexus block was significantly longer （P〈 0.05） but the time for producing the anesthetic effect was significantly shorter （P〈0.05） in group A than in group B. The rate of good anesthetic effect following the block was significantly higher in group A than in group B （P〈0.01）. Conclusion Acupuncture device plus electrical fire needling has well adjustable output power and current intensity when they are applied together to nerve location for brachial plexus block. The muscular tremor as a reaction to the combined use can produce the same effect as a nerve stimulator. It is economical and applicable and has a certain clinical application value.

关 键 词：针灸器械 电针 电火针 臂丛阻滞 

分 类 号：R246.2[医药卫生—针灸推拿学]