Clinical Research On Acupuncture-drug Compound Anesthesia For Subtotal Gastrectomy

Traditional medicines anesthesia for gastrectomy may have someadverse effects on the physiological functions of the body, suchas:the relative instability of the hemodynamic,the suppressionof arrhythmia, cardiovascular, respiratory depression, toxicreactions, allergic reactions, malignant hyperthermia,neurotoxicity, sober delayed postoperative nausea and vomiting.Clinical acupuncture anesthesia for decades, safe, simple,physiological interference, rapid postoperative recovery,relatively few complications, etc. have been recognized. Butmerely acupuncture anesthesia imperfect analgesia, musclerelaxation effect is not good, visceral reaction can not completelycontrol. And acupuncture anesthesia combined with drug anesthesiacan reduce the simple drug anesthesia and the simple acupunctureanesthesia complications and solve the problem of insufficientsimply a narcotic, electro-acupuncture to stimulate acupuncturepoints on the body system, two-way adjustment, protect the functionof various issues and organs of the patients, stable hemodynamics,and improve the safety of anesthesia. Therefore, AcupunctureCombined with general anesthesia than general anesthesia perioperative relatively stable vital signs, hemodynamicfluctuations, reduce the use of anesthetics and acupunctureregulation, suitable for a variety of general anesthesia patients,for the rehabilitation of patients achievedgood results.Objective: To observe the clinical effect of acupuncture-drugcompound anesthesia applying to subtotal gastrectomy.Method: In order to compare the effects on perioperativehemodynamic changes and postoperative recovery time inacupuncture-drug compound anesthesia and drug-induced generalanesthesia for subtotal gastrectomy,100anesthesia cases ofelective subtotal gastrectomy were selected and graded I or IIaccording to the classification of American Society ofAnesthesiologists (ASA).Then randomly divided into drug-inducedgeneral anesthesia group (group I, n=50).The general anesthesiaapplied on them during operation was induced by combined midazolam，fentanyl，propofol and vecuronium bromide，but for those in GroupB，15min of electric stimulation at bilateral Neiguan，Hegu,Zusanliand Shangjuxu was given with an acupuncture anesthesia apparatusbefore the drug induction as acupuncture anesthesia induction，then the general anesthesia started and maintained the same as thatin Group A．and acupuncture-drug compound anesthesia group (groupII, n=50), and recorded the changes of blood pressure (BP), heartrate (HR)along with blood oxygen saturation (SpO2) in everypatient during the periods of:10minutes before anesthesia, afterinduction, immediately after intubating, skin incision,intraoperative, postoperative, extubation,15mins afterextubation; and simultaneously recorded the recovery time of spontaneous breathing, eye-opening time, extubation time andrecovery time of orientation.Results:No significant difference between the two groups was found inoperation lasting time and anesthesia maintainingtime(P>0．05)．While comparing the changes of BP and HR during eachmonitoring period in both groups, it’s fewer and more stable ingroup II,along with a shorter postoperative recovery time.Conclusion:The acupuncture-generalanesthesia shows a bi-directional effectCompared acupuncture-drug compound anesthesia with drug generalanesthesia,the former is more stable in hemodynamics and able tosignificantly improve the quality of extubation and shorten thepostoperative recovery time.And it gecreases the dosage ofdrug,and it will have a good application prospect.