针刺麻醉应用于电视胸腔镜肺手术的临床研究
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(上海市肺科医院针麻研究室,上海200433)
[摘 要] 目的:使病人在浅麻醉状态下完成电视胸腔镜肺手术。
方法:手法针刺穴位加针刺增效药静脉复合麻醉在电视胸腔镜下(VATS)作肺手术33例为针药麻组,同时设全麻对照组33例,两组作术中用静脉复合液量的比较及麻醉前、进胸前、进胸后血压的比较。
结果:针药麻组术中用杜冷丁复合液量与全麻组比较减少43.5%(P<0.001);针药麻组与全麻组在麻醉前血压无差异(P>0.05),而在进胸前和进胸后有非常显著差异(P<0.01)。
结论:针药复合麻醉减少术中麻醉药量,针刺对机体有调整作用。
[主题词] 肺切除术;胸腔镜检查;针药复合麻醉
ClinicalStudyonAcupunctureAnesthesiafortheOperationofLungwithVedioA
ssistantThoracoscopyZhouHong,TongWenpu,LiuShengling,etal
(ShanghaiLungDiseaseHospital,Shanghai200433,China)
[Abstract]Purpose
TocompletetheoperationoflungwithVedioAssistantThoracoscopy(VATS)
undertheconditionofsuperficialanesthesia.Methods
Acupunctureandcompoundveinanesthesiaofdrugsofincreasingtheeffectofa
cupuncturewereuasedfortheoperationoflungwithVATSin33cases,whowereregardedasacup*.druganesthesiagroup;andother33
casesweretreatedwithgeneralanesthesiawereregardedascontrolgroupandt
heamountofcompoundanesthesicdrugliquidusedintheoper
ationwasobservedinthetwogroups ......
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