The Effects Of Acupuncture-assisted Anesthesia In HANS Assisted Intravenous-inhalational General Anesthesia In Gynecologic Laparoscopy By Guide Of AAI

Objectives:To investigte the effects of acupuncture-assisted anesthesiaMethods:90 patients undergoing elective gynecologic laparoscopy,ASAⅠ～Ⅱ,were divided randomly into 3 groups,30 cases in each group.Groupâ… received only general anesthesia,groupâ…¡received general anesthesia after HANS administered 20-30 min,Groupâ…¢received general anesthesia before HANS administered.Both Hegu and Taizhong were selected for acupuncture anesthesia, 2/100 Hz,12-15 mA,(in groupâ…¡,the strength range was 3-6mA that patient could beared),acupuncture until end of surgery.Eath case,1.5mg/kg of tramadol was administered intravenously after trachea intubation before the skin incision,maintained anesthesia with propotol 3mg.kg^-1.h^-1O₂flow:1.51/min,the concentration of seveflurine was adjusted to maintain AAI value at 15-25 during surgery.The yule of Sev-MAC was recorded for every 10 minutes,the average of the MAC after the skin incision until 30 minutes before the end of surgery was the MAC of the patient in the operation;to observe stability of hemodynamics, HR,BP were recorded,pay attention to those points:before and after of induction anesthesia,tracheal intubation,the skin incision,tracheal extubation;adverse events such as postoperative pain,resslessness,shivering,respiratory depression,nausea and vomiting were observed to vule the analepsia quality,the time from the end of operation to extubation and awake time were recorded;to observe the awaking of patient in operation and satisfactory of patients after surgery.Statistical analysis was performed with SPSS12.0 software.All the quantitative data of the 3 groups were compared with one-way analysis of variance(ANOVA),the categorical data with chi-square test.P＜0.05 means representing significance differece in statistics.Results:There was a significance differece in all groups.(P＜0.05),compared with before the skin incision,the Sev-MAC value after the skin incision is higher;The Sev-MAC value change was a significance differece in all groups.(P＜0.05),compared with eath other at those points:before the skin incision,after the skin incision and the average of the MAC in the operation, Groupâ… was the largest,Groupâ…¢was lower,groupâ…¡was the least.Compared with before induction of anesthesia,BP was higher(P＜0.05),at those points:after tracheal intubation,after the skin incision,after pneumoperitoneum and after tracheal extubation,BP was lower(P＜0.05)before tracheal intubation in Groupâ… andâ…¢;BP was higher(P＜0.05),after pneumoperitoneum,BP was lower(P＜0.05)before tracheal intubation in groupâ…¡.Groupâ…¡compared with Groupâ… ,Groupâ…¢:BP was lower(P＜0.05)after tracheal intubation,BP was higher(P＜0.05)before tracheal intubation in groupâ…¡,BP was down fast before tracheal intubation and BP was up fast after tracheal intubation in Groupâ… and Groupâ…¢,BP was very smoothful in groupâ…¡;BP was higher(P＜0.05)in Groupâ… than in Groupâ…¡andâ…¢at those points: after the skin incision,after pneumoperitoneum,after tracheal extubation, BP was up fast inGroupâ… ,BP was more stability in groupâ…¡and Groupâ…¢.Compared with before induction of anesthesia,HR was higher(P＜0.05),at those points:after tracheal intubation,after the skin incision,after pneumoperitoneum and after tracheal extubation,HR was lower(P＜0.05)before tracheal intubation in Groupâ… andâ…¢;HR was higher(P＜0.05),after pneumoperitoneum,HR was lower(P＜0.05)before tracheal intubation in groupâ…¡.Groupâ…¡compared with Groupâ… ,Groupâ…¢:HR was lower(P＜0.05)after tracheal intubation,HR was higher(P＜0.05)before tracheal intubation in groupâ…¡,HR was down fast before tracheal intubation and HR was up fast after tracheal intubation in Groupâ… and Groupâ…¢,MR was very smoothful in groupâ…¡;HR was higher(P＜0.05)in Groupâ… than in Groupâ…¡andâ…¢at those points: after the skin incision,after pneumoperitoneum,after tracheal extubation, HR was up fast in Groupâ… ,HR was more stability in groupâ…¡and Groupâ…¢.The time from the end of operation to extubation and the time from the end of operation to open the eye on command,compared witheathother,there was a significance differece(P＜0.05),Groupâ… was the longest,Groupâ…¢was longer,Groupâ…¡was shotest.;the rate of postoperative pain and resslessness in analepsia were a significance differece(P＜0.05),it was the most in Groupâ… ,it was more in groupâ…¡,it was the lowest in Groupâ…¢.compared with eath other,the rate of shivering,nausea and vomiting,there was not significant diference (P＞0.05),but it was the most in Groupâ… .Satisfactory of patient after surgery,it was Higher(P＜0.05)in groupâ…¡and Groupâ…¢than Groupâ… . Conclusion:In gynecologic laparoscopy with HANS assisted intravenous-inhalational general anesthesia by AAI monitoring on the depth of anesthesia,it was showed:HANS has a certain adjuvant action for anesthesia and analgesia,and acupuncture before general anesthesia has a better action;HANS has a stable effect on hemodynamics of the patients of perioperative,having significantly effects of inhibition on adverse reaction related to general anesthesia round recovery period,improved recovering quanlity and satisfactory of patient after surgery.