The Clinic Study Of Combined Acupuncture Medication Anesthesia Used In Thyroid Surgery

Objective:To explore the clinical anesthesia effect of combined acupuncture medication anesthesia in thyroid surgery, and the effects for patients circulatory system and stress reaction.Methods:Choose 90 patients with thyroid elective surgery in march 2009 to march 2010 in hubei province hospital, and randomly divided into A, B and C three groups. A:local anesthetics combined with pethidine and droperidol mixture. B:acupuncture anesthesia combined with pethidine and droperidol mixture. C:acupuncture anesthesia combined with local anesthetics and pethidine and droperidol mixture. Monitoring and recording the changes of blood pressure, heart rate, oxygen saturation, blood sugar on the moment T1 (five minutes before anesthesia),T2(five minutes before cutting skin but after anesthesia),T3 (ten minutes after cutting skin),T4 (thirty minutes after cutting skin),T5(thirty minutes after surgery).And observeing the analgesic effect of intraoperative anesthesia. The data were analyzed statistically.Results:①General condition changes of three groups patients:the age, weight had no significant difference among groups(P>0.05).②Heart rate (HR) changes of three groups patients:the HR had no significant difference among groups before anesthesia(P>0.05). Heart rate of group A, which measured at T2, T3,T4 and T5 moment, compared with T1 had significant difference (P<0.05). While HR of group C, which measured at T2, T3,T4 and T5 moment, compared with T1 had no significant difference. The HR of group B,C compared with group A at T4,had significant difference (P<0.05).③Oxygen saturation (SpO2) changes of three groups patients:the SpO2 had no significant difference among groups before anesthesia (P >0.05). Heart rate, which measured at T2, T3, T4 and T5 moment, compared with T1 had no significant difference (P>0.05). While HR of group C, which measured at T3 moment, compared with T1 had significant difference (P<0.05).④Blood pressure (MAP) changes of three groups patients:the MAP had no significant difference among groups before anesthesia(P>0.05). MAP of group B and C, which measured at T2 moment, compared with T1 had no significant difference (P>0.05). While MAP group A, which measured at T2, T3,T4 and T5 moment, compared with T1 had significant difference (P<0.05). The MAP of group B,C compared with group A in the operation, had significant difference (P<0.05).⑤Blood sugar changes of three groups patients:the blood sugar had no significant difference among groups before anesthesia(P>0.05). Blood sugar of group A, which measured at T2,T3,T4 and T5 moment, compared with T1 had significant difference (P<0.05). While blood sugar of group B and C, compared with T1 had significant difference (P >0.05). The blood sugar of group B, which measured at T4 and T5 moment, compared with group A, had significant difference (P< 0.05). The same to the group C and group A at T3, T4 and T5 moment.⑥The analgesic effect of group B and C compared with A had significant difference (P< 0.05). Otherwise, group B compared with C had no significant difference (P> 0.05). (The ratio of excellent of B and C were 93.34% and 96.66%, is higher than 63.30% of A).Conclusions:The combined acupuncture medication anesthesia not only have better exact effect, but also can make the changes of blood pressure, heart rate, oxygen saturation, which react the function index of cycle system more stable. And so as the changes of blood sugar which reflect stress response in thyroid surgery. Therefore, The combined acupuncture medication anesthesia has certain benign regulation at the aspect of circulatory system and stress reaction, and is a relatively safe and feasible method of anesthesia.