Abstract
Objective
To observe the effect of general anaesthesia with combination of acupuncture [conducted with Han’ s acupoint nerve stimulator (HANS) applied] and enflurance in radical operation of laryngocarcinoma (LC).
Methods
Sixty patients with LC of grade I–II, classified according to the standard of American Society of Anesthesiologists (ASA), were assigned by randomizing number table to the control group and the tested group, 30 patients in each group. The control group received anaesthesia with enflurane alone for inducing and maintaining; the tested group was anaesthetized with enflurane like that given to the control group but also received additionally needling stimulation conducted by HANS. The dosage of enflurane used, the minimum effective concentration of enflurane in alveolar air (MACEnf) and the changes of heart rate (HR) as well as blood pressure (BP) in patients at different time points in the operational process were observed.
Results
As compared with those in the control group, in the tested group, both the MACEnf and the dosage of enflurane were reduced, with the difference between the two groups significant (P<0.01). The changes of HR and BP among different time points in the tested group were slight, and as compared with those in the control group at the corresponding time points, the difference was significant (P<0.05 or P<0.01).
Conclusion
General anaesthesia with combination of enflurane and needling conducted by HANS applied in radical operation of LC has definite effect with less complication. Needling could be cooperated with narcotics, and so it could be taken as an auxiliary measure of anaesthesia for radical operation of LC.
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References
Chen KZ, Gao YH, Yang YF, et al. Cardiovascular reaction in laryngoscopic exposure of glottis and tracheal intubation. Chin J Anesthesiol 1986;6(1): 37–38.
Liu ZM, Hang YN. Hypertension in peri-decannulation. Foreign Med Sci: Anesthesiol Resuscitation 1996;17(5): 289–292.
Han JS. High and low frequency electroacuptunture analgesia are mediated by different opioid peptides. Pain 1984; 2(suppl): 543.
Han JS, Wang Q. Mobilization of specific neuropeptides by peripheral stimulation of identified frequencies. News Physiol Sci 1992, 7: 176–180.
Guo CQ, Zhang L, Ma HF, et al. Modern research and application on acupuncture study. Beijing: Acedamy Press, 1988: 309.
Eger EI, Saidman LJ, Brandstater B. Minimum alveolar anesthetic concentration: a standard of potency. Anesthesiology 1965; 26: 756–763.
Quasha AL, Eger EI, Tinker JH. Determination and application of MAC. Anesthesiology 1980; 53: 315–334.
Zhang Y, An JX, Liu J. Han’ s acupoint nerve stimulator (Hans) reduces the MAC of sevoflurane. Chin J Pain Med 1998, 4(4): 206–211.
Wang BG, Sun L, Wang EZ, et al. Application of general anaesthesia with combination of acupuncture and enflurane in craniotomy. Chin Acupunct Moxib 1994(Supp): 10–15.
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Dong, Ql., Wang, Gn. Effect of general anaesthesia with combination of acupuncture and enflurane applied in radical operation of laryngocarcinoma. Chin. J Integ. Med. 12, 306–309 (2006). https://doi.org/10.1007/s11655-001-0306-7
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DOI: https://doi.org/10.1007/s11655-001-0306-7