针药复合麻醉用于肾移植术50例报告

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100例终末期肾衰作肾移植手术患者随机分成针药复合组(针麻取六: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(对照组)各50例。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,两组间有非常显著的差异(P<0.001)。术中对照组的血流动力学改变较大,两组需用麻黄碱和抗胆碱药的病例数和次数分别为1和2与9和5次。移植肾泌尿时间:针药复合组较对照组快,分别为209±25秒和410±47秒,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31例,良13例,优良率为88%。 100 cases of end-stage renal failure for renal transplant patients were randomly divided into acupuncture group (acupuncture anesthesia take six: the main points, Sanyinjiao, too Creek; with points Shenshu and incision needle or Zusanli; External block) and epidural block (control group) 50 cases each. In the premise of maintaining painless patients, comparing the initial and total amount of local anesthetic in both groups, the acupuncture combined group was 5.6 ± 0.3ml and 13.5 ± 1.0ml, while the control group was 14.5 ± 0 .4ml and 25.4 ± 1.2ml, there was a very significant difference between the two groups (P <0.001). Intraoperative hemodynamic changes in the control group larger, two groups required ephedrine and anticholinergic cases and the number of times were 1 and 2 and 9 and 5 times. Transplanted kidney urinary time: acupuncture and drug combination group faster than the control group were 209 ± 25 seconds and 410 ± 47 seconds, P <0.001. There was no significant difference between the two groups in the changes of immune function before and after anesthesia. Anesthesia effect of acupuncture combined group was determined according to the initial quantity of epidural administration, excellent in 31 cases and good in 13 cases, the excellent and good rate was 88%.
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