摘要
目的 为观察针刺对体外循环心脏手术病人的机体调节作用。方法 ４０ 例房间隔缺损修补术病人随机分为针麻组（ｎ＝ １２），针刺加全麻组（ｎ＝ １２），和全麻组（ｎ＝ １６）。观察术中平均动脉压（ Ｍ Ａ Ｐ）、脉率氧饱和度（ Ｓｐ Ｏ２ ），术中、术后血管活性药物用量及术后并发症发生率。结果 术毕全麻组 Ｍ Ａ Ｐ明显低于针麻组和针刺加全麻组（ Ｐ＜ ０．０５）， Ｓｐ Ｏ２ 、 Ｈ Ｒ 各组间无统计学差异。针麻组、针刺加全麻组术中心脏自动复跳率明显高于全麻组，全麻组血管活性药物用量、术后循环、神经系统并发症明显高于针麻组和针刺加全麻组。
Objective To observe the adjusting effect of acupuncture on patients receiving cardiac surgery under extracorporeal circulation. Methods Forty patients undergoing repair of auricular septal defect were randomly divided into acupuncture anesthesia ( n=15 ), acupuncture puls general anesthesia ( n =12) and general anesthesia groups ( n=16 ). Intraoperative mean arterial pressure (MAP) and pulse oxygen saturation (SpO 2), intraoperative and postoperative dosage of vasoactive drugs and the incidence of postoperative complications were observed. Results After the operation, MAP was significantly lower in general anesthesia group than in acupuncture anesthesia and acupuncture plus general anesthesia groups ( P <0.05); there were no statistically significant differences in SpO 2 and HR among the groups. Automatic cardioversion rate was significantly higher in acupuncture anesthesia and acupuncture plus general anesthesia groups than in general anesthesia group; the dosage of vasoactive drugs and the incidence of postoperative complications of circulative and nervous systems were significantly larger in general anesthesia group than in acupuncture anesthesia and acupuncture plus general anesthesia groups. Conclusion Acupuncture has a regulative effect of improving body's functions in patients undergoing cardiac surgery.
出处
《上海针灸杂志》
北大核心
1999年第5期6-7,共2页
Shanghai Journal of Acupuncture and Moxibustion
基金
卫生部科研基金
关键词
电针麻醉
房间隔缺损
心脏外科手术
Electroacup anesthesla Surgery, Cardiovascular (Non mesh) Heart septal defects, atrial
