摘要
100例终末期肾衰患者（做肾移植手术患者）随机分针药复合组（针麻取穴：主穴次■、三阴交、太溪；配穴肾俞和切口旁针或足三里；并复合小剂量硬膜外阻滞）与硬膜外阻滞组（对照组）各50例，做肾移植手术。在保持患者无痛的前提下，比较两组局麻药初量和总量，针药复合组为5．6±0、3ml和13．5±1．0ml，而对照组为14．5±0．4ml和25．4±1．2ml，两组之间有非常显著的差异（P＜0．001）。术中对照组的血流动力学变化较大，两组需用麻黄碱和阿托品的病例数分别为1和2与9和5例。移植肾开始泌尿时间，针药复合组较对照组早，分别为209±25s和410±47s（P＜0．001）。麻醉前后的免疫功能变化两组间无明显差异。针药复合组的麻醉效果根据硬膜外给药初量多少而定，优21例，良13例，优良率为88％。
One hundred patients undergoing renal transplantation were randomly divided into combined acupuncturesepidural anesthesia group (group A, points selected: Ciliao, Sanyinjiao, Taixi together with Shenshu and para-incision or Zusanli; combined with small dose of epidural block) and epidural block group(group C), each 50 patients. The initial dose and total dose of local anesthetics were 5. 6±0 .3m1 and 13. 5±1. 0ml in group A, and 14. 5±0. 4ml and 25. 4±1. 2ml in group C, respectively.There was very significant difference between the two groups(P < 0.001). During the operation the hemodynamic changes were greater in group C. Ephedrine and atropine were used in 1 and 2 cases in group A, and in 9 and 5 cases in group C, respectively. The starting time of urination of the trans-planted kidney was shorter in group A than in group C, being 209±25s and 410±47s, respectively(P< 0. 001 ). There was no significant difference in the indices of immunologic function between the two groups. The anesthetic results in group A were evaluated according to the initial dose of epidural anes-thetics. Those were excellent in 31 cases(62 % ) and good in 13 (26 % ) with the excellent-good rate 88 %.
出处
《针刺研究》
CAS
CSCD
1997年第4期275-279,共5页
Acupuncture Research
