电针辅助硬膜外麻醉用于腹式全宫切除术  

Electro acupuncture Supplementing Routine Epidural Anesthesia for Abdominohysterectomy

作　　者：温科辉[1] 曾庆华[1] 罗汉平[1] 

机构地区：[1]广州中医药大学第一附属医院麻醉科,广州510405

出　　处：《广州中医药大学学报》1999年第3期191-193,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：为充分发挥针刺麻醉的优点 ,解决针刺麻醉在腹部手术中存在的镇痛不全 ,肌松不够和牵拉反应重等问题 ,将行腹式全宫切除术的 60例患者随机分为两组 ,A组为电针辅助硬膜外麻醉 ,B组为硬膜外麻醉。术中主要观察了各阶段平均动脉压 (Pav)和心率 (f)的变化及术后肠功能恢复的情况。结果 :麻醉后、进腹、探查、牵拉子宫、关腹各阶段的Pav的变化与麻醉前相比 ,A组与B组均较麻醉前下降 (P <0 .0 5或P <0 .0 1) ,在进腹及牵拉子宫这两个阶段 ,B组的下降比A组明显 (P <0 .0 5 ) ;两组f的变化 ,在牵拉子宫时都出现明显下降 (P <0 .0 5 ) ;术后肛门的排气时间A组优于B组 (P <0 .0 5 )。提示电针辅助硬膜外麻醉在腹部手术中有较好的稳定心血管功能 ,增强镇痛效应 ,减少牵拉反应 。Sixty cases receiving adbominohysterectomy were allocated randomly to two groups.Group A was anestheitized by electro_acupuncture supplementing routine epidural anesthesia and Group B by routine epidural anesthesia only.Mean arterial pressure(MAP)and heart rate(HR) during operation and the recovery of intestinal function after openration were observed.The results showed that in Group A,MAP decreased in the stages of anesthetization(P< 0.05 ),opening abdomen,exploring and pulling uterus and closing adbomen(P< 0.01 )as compared with that before anesthesia.So did Group B(P< 0.01 ).MAP decreased markedly in the stage of opening abdomen,exploring and pulling uterus as compared with Group A(P< 0.05 ).HR decreased obviously in the stage o f pulling uterus in the two groups as compared with that before anesthesia(P< 0.05 ).The time of passing flatus after operation in Group A was earlier than that in Group B(P< 0.05 ).It is suggested that electro_acupuncture supplementing routine epidural anesthesia exert a good effect in stabilizing cardiovascular function,increasing analgesia,reducing pulling response and promoting the recovery of intestinal function.

关 键 词：硬膜外麻醉 针药复合麻醉 子宫切除术 电针麻醉 

分 类 号：R246.2[医药卫生—针灸推拿学] R713.42[医药卫生—中医临床基础]