Hospital of Nanjing Medical College
From Feb., 1966 to June, 1978, 1434 cases were operated upon for subtotal gastrectomy under auricular acupuncture anesthesia. Most of them had a definite diagnosis of gastric or duodenal ulcer and were proper candidates for the operation.
One hour prior to operation, 0.1gm. sodium luminal intramuscularly and 0.5 mg. of atropine subcutaneously were preseribed as premedications. In most cases acupuncture points on the ear employed were Shenmen, Fei, Jiaogan and Wei. Pulsating electrical current, generated by the transistor-typed apparatus, G-6805, with a frequency of 200-500 cycles per minute was delivered to each point. Induction took 15-20 minutes. 50 mg. of dolantin were given intravenously 10-15 minutes before skin in cision. During operation some adjuvants such as dolantin and phenergan and 1% procaine for local infiltration were used whenever necessary. The average amount of dolantin employed in consecutive 406 cases was 29.6 mg., that of phenergan 6.3 mg., and that of 1% procaine 12.8 ml.
The rate of success was 95.1%. While the operations were done under this kind of anesthesia both blood pressure and pulse in general remained steady. The patients could take liquid diet within 2.98 days and get out of bed and walk about in 3.1 days in average. Evidently the auricular acupuncture anesthesia was safe, economical, easy to learn and with its recuperation period shortened.
Statistical analysis illustrated that as the acupuncture anesthesia concerned, the females had a better result than the males. Perhaps most of the females were the multipara with loose belly and visceroptosis to certain extent, so that the traction over the viscera was relatively mild. In addition the efficacy of anesthesia was better in those patients whose duration of operation was relatively short than those with long one. All of these might be related to the simplicity of the surgical condition and the excellent expert with the technique.
Comparison of 62 cases acupunctural needling bilaterally with 181 cases needling unilaterally revealed that the rates of sucess were 95.0% and 95.03% respectively and there was no significant difference between them. The results of anesthesia obtained from eight different prescriptions of auricular points gave no significant difference also.
We proposed that the key of improving the efficacy of the auricular acupuncture anesthesia would be skillful, light, quick, gentle operative manipulation, less traction on the viscera, short duration of operation and an active cooperation between the patient and the surgeon rather than the selection of the specific needling points either unilaterally or bilaterally.
From Feb., 1966 to June, 1978, 1434 cases were operated upon for subtotal gastrectomy under auricular acupuncture anesthesia. Most of them had a definite diagnosis of gastric or duodenal ulcer and were proper candidates for the operation.
One hour prior to operation, 0.1gm. sodium luminal intramuscularly and 0.5 mg. of atropine subcutaneously were preseribed as premedications. In most cases acupuncture points on the ear employed were Shenmen, Fei, Jiaogan and Wei. Pulsating electrical current, generated by the transistor-typed apparatus, G-6805, with a frequency of 200-500 cycles per minute was delivered to each point. Induction took 15-20 minutes. 50 mg. of dolantin were given intravenously 10-15 minutes before skin in cision. During operation some adjuvants such as dolantin and phenergan and 1% procaine for local infiltration were used whenever necessary. The average amount of dolantin employed in consecutive 406 cases was 29.6 mg., that of phenergan 6.3 mg., and that of 1% procaine 12.8 ml.
The rate of success was 95.1%. While the operations were done under this kind of anesthesia both blood pressure and pulse in general remained steady. The patients could take liquid diet within 2.98 days and get out of bed and walk about in 3.1 days in average. Evidently the auricular acupuncture anesthesia was safe, economical, easy to learn and with its recuperation period shortened.
Statistical analysis illustrated that as the acupuncture anesthesia concerned, the females had a better result than the males. Perhaps most of the females were the multipara with loose belly and visceroptosis to certain extent, so that the traction over the viscera was relatively mild. In addition the efficacy of anesthesia was better in those patients whose duration of operation was relatively short than those with long one. All of these might be related to the simplicity of the surgical condition and the excellent expert with the technique.
Comparison of 62 cases acupunctural needling bilaterally with 181 cases needling unilaterally revealed that the rates of sucess were 95.0% and 95.03% respectively and there was no significant difference between them. The results of anesthesia obtained from eight different prescriptions of auricular points gave no significant difference also.
We proposed that the key of improving the efficacy of the auricular acupuncture anesthesia would be skillful, light, quick, gentle operative manipulation, less traction on the viscera, short duration of operation and an active cooperation between the patient and the surgeon rather than the selection of the specific needling points either unilaterally or bilaterally.
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