Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divid...Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group（n=31） and a control group（n=30）.In the observation group,electroacupuncture was applied to Sìbái（四白 ST 2）,Xiàguān（下关 ST 7）,Hégǔ（合谷 LI 4） and Zhīgōu（支沟 TE 6） on the left side for the anesthesia and the routine local anesthesia was done on the right side.In the control group,the routine local anesthesia was adopted on both sides.The feelings of pain,circulatory index and operation effect were observed and compared between the two groups.Results During radiofrequency ablation,the pain grades of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group（all P〈0.05）.In the observation group,the pain grade on the left side was lower than that on the right side（P〈0.05）,and the systolic blood pressure and the heart rate were lower than those in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side,respectively（all P〈0.05）.There was no significant difference in operation effect between the two groups.Conclusion Electroacupuncture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for hypertrophic inferior turbinate,and would be helpful to prevent cyclic fluctuation during the operation at the same time.展开更多
Objective To explore effects of acupuncture on senJm tumor necrosis factor （TNF） and ,γ-inter- feron （INF-γ） contents in the operative patient of lung cancer. Methods In the first stage, electroacupuncture （EA...Objective To explore effects of acupuncture on senJm tumor necrosis factor （TNF） and ,γ-inter- feron （INF-γ） contents in the operative patient of lung cancer. Methods In the first stage, electroacupuncture （EA） stimulation was given to 25 cases of lung cancer before operation, once daily for 3 consecutive days, with continuous EA stimulation during operation; EA was given once each day from the 5^th-7^th days after operation. In the second stage, EA was added from the 8^th- 10^th days after operation in 30 cases, once daily. Serum TNF and INF-γ contents were compared before and after operation. Results Serum TNF content on the 8th day after operation in the first stage study was lower （P〈0.05） and on the 12th day after operation in the second stage study was higher （P〈0.05） in the compound anesthesia group than that in the general anesthesia group; serum INF-γ contents in the compound anesthesia group on the 8^th day after operation in the first stage and on the 12^th day after operation in the second stage were significantly higher than those in the general anesthesia group （P〈0.01, P〈0.05）. Conclusion Acupuncture can regulate serum TNF and INF-γ contents in the patient of operation of lung cancer, with dual-directional regulation on immunologic function.展开更多
Objective: to explore the clinical significance of general anesthesia combined with epidural anesthesia in the treatment of hysteromyoma. Methods: 100 patients who underwent hysteromyomectomy in our hospital from Janu...Objective: to explore the clinical significance of general anesthesia combined with epidural anesthesia in the treatment of hysteromyoma. Methods: 100 patients who underwent hysteromyomectomy in our hospital from January 2019 to December 2020 were randomly allocated, 50 patients in each group. The general anesthesia group was all under general anesthesia, while the compound anesthesia group was under general anesthesia combined with epidural anesthesia. The vital signs of the two groups before tracheal intubation, immediately after tracheal intubation, at the time of skin incision, at the end of surgery and at the time of tracheal extubation were compared, and the incidence of postoperative complications was compared. Results: there was no significant difference in vital signs immediately before tracheal intubation between compound anesthesia group and general anesthesia group (P > 0.05). The vital signs of the compound anesthesia group were lower than those of the general anesthesia group immediately after tracheal intubation, at the time of skin incision, at the end of operation and at the time of tracheal extubation (P < 0.05). The incidence of postoperative complications in compound anesthesia group was lower than that in general anesthesia group (P < 0.05). Conclusion: compared with total anesthesia, general anesthesia combined with epidural anesthesia is effective in hysteromyoma surgery, which can effectively maintain good anesthetic effect and reduce the occurrence of complications. It is worthy of promotion and application.展开更多
目的比较不同复合全麻策略对腹腔镜子宫切除术患者的临床效果及对血清CRP、BNP、B细胞及NK细胞的影响。方法选取2021年7月至2023年11月池州市第二人民医院收治的122例行腹腔镜子宫切除术患者为观察对象,采用抽样便利法将其分为A组(硬膜...目的比较不同复合全麻策略对腹腔镜子宫切除术患者的临床效果及对血清CRP、BNP、B细胞及NK细胞的影响。方法选取2021年7月至2023年11月池州市第二人民医院收治的122例行腹腔镜子宫切除术患者为观察对象,采用抽样便利法将其分为A组(硬膜外阻滞复合全麻)、B组(静脉复合吸入全麻),各61例。比较两组麻醉相关指标(麻醉时长、恢复自主呼吸时长、术后完全清醒时间、拔管时长、术后住院时长)、疼痛情况、生命体征(MAP及心率)、血清CRP及BNP、B细胞及NK细胞及不良反应总发生率。结果A组麻醉时长长于B组,恢复自主呼吸时长、术后完全清醒时间、拔管时长、术后住院时长均短于B组,差异有统计学意义(P<0.05)。术后6 h、12 h、24 h、48 h,两组VAS评分均降低,且术后12 h、24 h、48 h A组VAS评分均显著低于B组,差异有统计学意义(P<0.05)。A组气腹后MAP高于B组,气腹后、术毕心率低于B组,差异有统计学意义(P<0.05)。较麻醉前,两组术后1 d、术后3 d血清CRP、BNP水平均出现上升,但A组术后1 d、术后3 d上述指标水平显著低于B组,差异有统计学意义(P<0.05)。较术前,两组术后30 min B细胞及NK细胞均升高,但A组术后30 min NK细胞低于B组,差异有统计学意义(P<0.05);两组术前、术后30 min B细胞比较,差异无统计学意义(P>0.05)。结论腹腔镜子宫切除术中,硬膜外阻滞复合全麻在镇痛、生命体征、抗炎护心、免疫及安全性等方面均优于静脉复合吸入全麻,可为麻醉策略选择提供有力依据。展开更多
Objective: TO study clinical effect and anesthetic method of acupuncture anesthesia combined with epidural administration of small dose of anesthetic for cholecystectomy. Methods: A total of 194 cases of cholecystecto...Objective: TO study clinical effect and anesthetic method of acupuncture anesthesia combined with epidural administration of small dose of anesthetic for cholecystectomy. Methods: A total of 194 cases of cholecystectomy patients were randomly divided into acupuncture combined with epidural anesthesia group (group A, n = 66), acupoint-skin electrical stimulation combined with epidural anesthesia group (group B, n = 63) and simple epidural anesthesia group (group C, n=65). Observations were conducted using single-bland method. Bilateral Neiguan (PC 6) and Zusanli (ST 36) were punctured and stimulated electrically in group A and only stimulated electrically via cutaneous electrodes in group B. Epidural anesthetic used was 1.5% Lidocaine and the anesthetic level was controlled to reach T4-11 . Results: The class-I (excellent) rates of group A, B and C were 75.76%, 60.32% and 13.85% respectively, showing significant differences between group A and C and group B and C (P <0.001). The initial dose, doses of every hour and every case of group A and B were lower than those of group C. The dose of every hour of group C was 36.23% and 3. 75% higher then group A and B respectively (P < 0. 001), suggesting that acupuncture or acupoint-skin electrical stimulation could strengthen anesthetic effect and reduce the dose of epidural anesthetic. During operation, indexes of the life signs as HR, MAP, RR, TV, MV, SpO2 and ECG kept basically stable and all patients in group A passed surgical operation safely. Conclusion: Acupuncture or acupoint-skin electrical stimulation combined with epidural anesthesia can be used as one of the anesthetic methods for cholecystectomy.展开更多
基金Supported by Foundation Project in Guang'anmen Hospital,China Academy of Chinese Medical Sciences:2006 S 195
文摘Objective To explore the feasibility of electroacupuncture compound anesthesia in radiofrequency ablation for hypertrophic inferior turbinate.Methods The patients confirmed to the enrolled criteria were randomly divided into an observation group（n=31） and a control group（n=30）.In the observation group,electroacupuncture was applied to Sìbái（四白 ST 2）,Xiàguān（下关 ST 7）,Hégǔ（合谷 LI 4） and Zhīgōu（支沟 TE 6） on the left side for the anesthesia and the routine local anesthesia was done on the right side.In the control group,the routine local anesthesia was adopted on both sides.The feelings of pain,circulatory index and operation effect were observed and compared between the two groups.Results During radiofrequency ablation,the pain grades of two measurements on the left side and the 2nd measurement on the right in the observation group were all lower than those in the control group（all P〈0.05）.In the observation group,the pain grade on the left side was lower than that on the right side（P〈0.05）,and the systolic blood pressure and the heart rate were lower than those in the control group when undergoing the 2nd radiofrequency ablation on the right side and on the left side,respectively（all P〈0.05）.There was no significant difference in operation effect between the two groups.Conclusion Electroacupuncture compound anesthesia can meet the analgesia requirement of radiofrequency ablation for hypertrophic inferior turbinate,and would be helpful to prevent cyclic fluctuation during the operation at the same time.
文摘Objective To explore effects of acupuncture on senJm tumor necrosis factor （TNF） and ,γ-inter- feron （INF-γ） contents in the operative patient of lung cancer. Methods In the first stage, electroacupuncture （EA） stimulation was given to 25 cases of lung cancer before operation, once daily for 3 consecutive days, with continuous EA stimulation during operation; EA was given once each day from the 5^th-7^th days after operation. In the second stage, EA was added from the 8^th- 10^th days after operation in 30 cases, once daily. Serum TNF and INF-γ contents were compared before and after operation. Results Serum TNF content on the 8th day after operation in the first stage study was lower （P〈0.05） and on the 12th day after operation in the second stage study was higher （P〈0.05） in the compound anesthesia group than that in the general anesthesia group; serum INF-γ contents in the compound anesthesia group on the 8^th day after operation in the first stage and on the 12^th day after operation in the second stage were significantly higher than those in the general anesthesia group （P〈0.01, P〈0.05）. Conclusion Acupuncture can regulate serum TNF and INF-γ contents in the patient of operation of lung cancer, with dual-directional regulation on immunologic function.
文摘Objective: to explore the clinical significance of general anesthesia combined with epidural anesthesia in the treatment of hysteromyoma. Methods: 100 patients who underwent hysteromyomectomy in our hospital from January 2019 to December 2020 were randomly allocated, 50 patients in each group. The general anesthesia group was all under general anesthesia, while the compound anesthesia group was under general anesthesia combined with epidural anesthesia. The vital signs of the two groups before tracheal intubation, immediately after tracheal intubation, at the time of skin incision, at the end of surgery and at the time of tracheal extubation were compared, and the incidence of postoperative complications was compared. Results: there was no significant difference in vital signs immediately before tracheal intubation between compound anesthesia group and general anesthesia group (P > 0.05). The vital signs of the compound anesthesia group were lower than those of the general anesthesia group immediately after tracheal intubation, at the time of skin incision, at the end of operation and at the time of tracheal extubation (P < 0.05). The incidence of postoperative complications in compound anesthesia group was lower than that in general anesthesia group (P < 0.05). Conclusion: compared with total anesthesia, general anesthesia combined with epidural anesthesia is effective in hysteromyoma surgery, which can effectively maintain good anesthetic effect and reduce the occurrence of complications. It is worthy of promotion and application.
文摘目的比较不同复合全麻策略对腹腔镜子宫切除术患者的临床效果及对血清CRP、BNP、B细胞及NK细胞的影响。方法选取2021年7月至2023年11月池州市第二人民医院收治的122例行腹腔镜子宫切除术患者为观察对象,采用抽样便利法将其分为A组(硬膜外阻滞复合全麻)、B组(静脉复合吸入全麻),各61例。比较两组麻醉相关指标(麻醉时长、恢复自主呼吸时长、术后完全清醒时间、拔管时长、术后住院时长)、疼痛情况、生命体征(MAP及心率)、血清CRP及BNP、B细胞及NK细胞及不良反应总发生率。结果A组麻醉时长长于B组,恢复自主呼吸时长、术后完全清醒时间、拔管时长、术后住院时长均短于B组,差异有统计学意义(P<0.05)。术后6 h、12 h、24 h、48 h,两组VAS评分均降低,且术后12 h、24 h、48 h A组VAS评分均显著低于B组,差异有统计学意义(P<0.05)。A组气腹后MAP高于B组,气腹后、术毕心率低于B组,差异有统计学意义(P<0.05)。较麻醉前,两组术后1 d、术后3 d血清CRP、BNP水平均出现上升,但A组术后1 d、术后3 d上述指标水平显著低于B组,差异有统计学意义(P<0.05)。较术前,两组术后30 min B细胞及NK细胞均升高,但A组术后30 min NK细胞低于B组,差异有统计学意义(P<0.05);两组术前、术后30 min B细胞比较,差异无统计学意义(P>0.05)。结论腹腔镜子宫切除术中,硬膜外阻滞复合全麻在镇痛、生命体征、抗炎护心、免疫及安全性等方面均优于静脉复合吸入全麻,可为麻醉策略选择提供有力依据。
基金Chinese State "9th 5-years" Key Projects of Science and Technology Grant.
文摘Objective: TO study clinical effect and anesthetic method of acupuncture anesthesia combined with epidural administration of small dose of anesthetic for cholecystectomy. Methods: A total of 194 cases of cholecystectomy patients were randomly divided into acupuncture combined with epidural anesthesia group (group A, n = 66), acupoint-skin electrical stimulation combined with epidural anesthesia group (group B, n = 63) and simple epidural anesthesia group (group C, n=65). Observations were conducted using single-bland method. Bilateral Neiguan (PC 6) and Zusanli (ST 36) were punctured and stimulated electrically in group A and only stimulated electrically via cutaneous electrodes in group B. Epidural anesthetic used was 1.5% Lidocaine and the anesthetic level was controlled to reach T4-11 . Results: The class-I (excellent) rates of group A, B and C were 75.76%, 60.32% and 13.85% respectively, showing significant differences between group A and C and group B and C (P <0.001). The initial dose, doses of every hour and every case of group A and B were lower than those of group C. The dose of every hour of group C was 36.23% and 3. 75% higher then group A and B respectively (P < 0. 001), suggesting that acupuncture or acupoint-skin electrical stimulation could strengthen anesthetic effect and reduce the dose of epidural anesthetic. During operation, indexes of the life signs as HR, MAP, RR, TV, MV, SpO2 and ECG kept basically stable and all patients in group A passed surgical operation safely. Conclusion: Acupuncture or acupoint-skin electrical stimulation combined with epidural anesthesia can be used as one of the anesthetic methods for cholecystectomy.
