针刺对心脏手术病人功能调节的观察  

Clinical observations on the adjustment of body's functions by acupuncture in patients undergoing cardiac surgery

作　　者：王祥瑞[1] 杭燕南[1] 孙大金[1] 张马忠[1] 许灿然[1] 

机构地区：[1]上海第二医科大学附属仁济医院,200001

出　　处：《上海针灸杂志》1999年第5期6-7,共2页Shanghai Journal of Acupuncture and Moxibustion

基　　金：卫生部科研基金

摘　　要：目的　为观察针刺对体外循环心脏手术病人的机体调节作用。方法　４０ 例房间隔缺损修补术病人随机分为针麻组（ｎ＝ １２），针刺加全麻组（ｎ＝ １２），和全麻组（ｎ＝ １６）。观察术中平均动脉压（ Ｍ Ａ Ｐ）、脉率氧饱和度（ Ｓｐ Ｏ２ ），术中、术后血管活性药物用量及术后并发症发生率。结果　术毕全麻组 Ｍ Ａ Ｐ明显低于针麻组和针刺加全麻组（ Ｐ＜ ０．０５）， Ｓｐ Ｏ２ 、 Ｈ Ｒ 各组间无统计学差异。针麻组、针刺加全麻组术中心脏自动复跳率明显高于全麻组，全麻组血管活性药物用量、术后循环、神经系统并发症明显高于针麻组和针刺加全麻组。Objective To observe the adjusting effect of acupuncture on patients receiving cardiac surgery under extracorporeal circulation. Methods Forty patients undergoing repair of auricular septal defect were randomly divided into acupuncture anesthesia ( n=15 ), acupuncture puls general anesthesia ( n =12) and general anesthesia groups ( n=16 ). Intraoperative mean arterial pressure (MAP) and pulse oxygen saturation (SpO 2), intraoperative and postoperative dosage of vasoactive drugs and the incidence of postoperative complications were observed. Results After the operation, MAP was significantly lower in general anesthesia group than in acupuncture anesthesia and acupuncture plus general anesthesia groups ( P <0.05); there were no statistically significant differences in SpO 2 and HR among the groups. Automatic cardioversion rate was significantly higher in acupuncture anesthesia and acupuncture plus general anesthesia groups than in general anesthesia group; the dosage of vasoactive drugs and the incidence of postoperative complications of circulative and nervous systems were significantly larger in general anesthesia group than in acupuncture anesthesia and acupuncture plus general anesthesia groups. Conclusion Acupuncture has a regulative effect of improving body's functions in patients undergoing cardiac surgery.

关 键 词：电针麻醉 房间隔缺损 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学] R246.2[医药卫生—临床医学]