Yu Jin, Li Chaojing, Xie Peiling (Hospital of Obstetrics and Gynecology, Shanghai First Medical College)
The present study undertaken from January 1974 to December 1977 in the hospital of obstetrics and gynecology of Shanghai First Medical College in an observation of 140 cases of radical hysterectomies and complete pelvic lymphadenectomies under acupuncture anesthesia.
There were 135 cases of cervical carcinoma and 5 cases of endometrial adenocarcinoma in the total of 140 cases, 80 cases were treated by radical hysterectomies and the other 60 cases were as before plus complete pelvic lymphadenectomies.
The anesthetic efficacy of various combinations of acupuncture points were observed. The superficial puncture of Mingmen point was used in 1974, 36.6 percent of cases were successful and excellent results were obtained in 34.6 percent. A deep acupuncture of Mingmen point (penetrating into the epidual space) was used in 1975. 76.4 percent were successful and 58.5 percent showed excellent results (P<0.01). In 1976, the effect of acupuncture anesthesia of Mingmen point was compared with Mingmen point plus an ear point, no significant difference was observed. In 1977, deep puncture of Mingmen point was reevaluated, achievement of a transferable sensation indicated accurate location of the acupuncture point and excellent results occurred in 73.7 percent. This suggested that the efficacy of acupuncture anesthesia is related to the specificity and reactivity of the acupuncture points. Besides, the needles being penetrated deep into the epidural space and electrified, enhanced the suppression of pain sensation of the spinal nerve segment,
The present study also showed that the duration of the operating course, the degree of operative stimulation and the pain tolerance of the patients all influenced the efficacy of acupuncture anesthesia. There were no significant differences in the efficiency of acupuncture ansthesia between the two groups of operation.
Clinical experience indicated that proper selection and accurate puncture of suitable points may promote the anesthetic effects of acupuncture so that operations whose fields are as wide as radical hysterectomy plus bilateral lymph node resection may be performed just as well as simple total hysterectomy.
The present study undertaken from January 1974 to December 1977 in the hospital of obstetrics and gynecology of Shanghai First Medical College in an observation of 140 cases of radical hysterectomies and complete pelvic lymphadenectomies under acupuncture anesthesia.
There were 135 cases of cervical carcinoma and 5 cases of endometrial adenocarcinoma in the total of 140 cases, 80 cases were treated by radical hysterectomies and the other 60 cases were as before plus complete pelvic lymphadenectomies.
The anesthetic efficacy of various combinations of acupuncture points were observed. The superficial puncture of Mingmen point was used in 1974, 36.6 percent of cases were successful and excellent results were obtained in 34.6 percent. A deep acupuncture of Mingmen point (penetrating into the epidual space) was used in 1975. 76.4 percent were successful and 58.5 percent showed excellent results (P<0.01). In 1976, the effect of acupuncture anesthesia of Mingmen point was compared with Mingmen point plus an ear point, no significant difference was observed. In 1977, deep puncture of Mingmen point was reevaluated, achievement of a transferable sensation indicated accurate location of the acupuncture point and excellent results occurred in 73.7 percent. This suggested that the efficacy of acupuncture anesthesia is related to the specificity and reactivity of the acupuncture points. Besides, the needles being penetrated deep into the epidural space and electrified, enhanced the suppression of pain sensation of the spinal nerve segment,
The present study also showed that the duration of the operating course, the degree of operative stimulation and the pain tolerance of the patients all influenced the efficacy of acupuncture anesthesia. There were no significant differences in the efficiency of acupuncture ansthesia between the two groups of operation.
Clinical experience indicated that proper selection and accurate puncture of suitable points may promote the anesthetic effects of acupuncture so that operations whose fields are as wide as radical hysterectomy plus bilateral lymph node resection may be performed just as well as simple total hysterectomy.
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