针麻体外循环心内直视术规范化的研究  

Advanced Clinical Study of Acupuncture Anesthesia for Open Heart Surgery Under Extracoporeal Circulation

作　　者：许灿然[1] 孙大金[1] 姚建玲[1] 杭燕南[1] 

机构地区：[1]上海第二医科大学附属仁济医院

出　　处：《中国针灸》1991年第4期24-24,共1页Chinese Acupuncture & Moxibustion

摘　　要：我院自1972年首次应用针麻施行体外循环心内直视术取得成功后,并于1978年进行230例总结。我们认为针麻的特点是神志清楚,对循环影响较小,术后无肺部并发症,但优良率为69.2%。因此,针麻效果是目前存在的主要问题。本文研究目的是进一步提高效果,并将针麻体外循环心内直术的方法加以规范化。In this article,44 cases with acupunctue forintracardiac surgery under extracoporceal circulationwere studied.We concluded that the following guid-elines were most inportant:1.to select proper cases;2.to exercise abdominal respiration one week beforeoperation;3.to select Nei-kuan,Li-Chuek,Yun-Men bilaterally;4.to get the needling sensation,then connect with an eletrical stimulation which pr-ovide a frequency of 2HZ;5.to infiltrate operationfield using 0.25% lidocaine mixed with 1:400000adrenaline;6.to use droperidol 2.5-5 mg and fon-tynal 0.05-0.1 mg intravenousely before operation;7.to enhance the management of anesthesia,to im-prove the procedure of operation and to reduce thetime of operation.The results showed that the prop-ortion of excellent to good grade developed from69.2% to 84.09%,the successful rate increasedfrom 91.8% to 97.8%.

关 键 词：体外循环 心脏外科手术 针刺麻醉 

分 类 号：R246.2[医药卫生—针灸推拿学] R654.05[医药卫生—中医临床基础]