Teng Xinjian (Anesthetic Division of Kulou Hospital, Nanjing)
66 cases of mitral commissurotomies were performed, including 26 males and 40 females, 18-55 years old. Among them, 11 patients complicated with auricular fibrillation, 2 with mitral insufficiency, 1 with pulmonary hypertension and 2 with 6-7 months pregnancy. Functionally all of them were scored in grade II or III N.Y.H.A.
All the patients took abdominal respiratory excercises for 2-3 days before operation, while a sand bag was put on the left anterior chest wall. The weight of the sand bag was increased from 2 to 5 kg gradually. The respiratory depth therefore increased day by day, while the respiratory frequency decreased to 10 times per minute.
Acupuncture points of choice were Hegu, Waiguan, Feishu and Xinshu. Of these 60 cases, the threshold of two-points discrimination, the pain threshold and the skin temperature were determined before and after acupuncture. All values increased after acupuncture in 93% of the patients. This coincided with success rate 95.5%. It is therefore hardly to say there were no definite relationships between the pain tolerance threshold, skin electric resistance and the acupuncture anesthetic effect.
In comparison with 100 similar operations under general anesthesia, acupuncture anesthesia was definitely superior to the former. Among those under the general anesthesia, 1 patient died of cerebral emboli, 1 of heart failure, and 1 complicated with psychic disorder and 60% of them suffered from cough, while in those under acupuncture anesthesia only 1 patient developed cardiogenic shock at the end of the operation and recovered immediately after proper treatment. Besides only 30% of them sufferred from cough. They usually took diet earlier and recovered more quickly.
Under acupuncture anesthesia, even when the chest cavity was opened, oxygenation was, as a rule, enriched by using the mask instead of the endotracheal tube. There was however one exception who developed pulmonary edema during the operation. 10 patients had their blood gas analysed. The PO[2], PCO[2] and O[2] saturation all were within the normal ranges.
It could be said that acupuncture anesthesia for mitral commissurotomy has definite advantages but the incomplete analgesia is the chief drawback and needs further investigation.
66 cases of mitral commissurotomies were performed, including 26 males and 40 females, 18-55 years old. Among them, 11 patients complicated with auricular fibrillation, 2 with mitral insufficiency, 1 with pulmonary hypertension and 2 with 6-7 months pregnancy. Functionally all of them were scored in grade II or III N.Y.H.A.
All the patients took abdominal respiratory excercises for 2-3 days before operation, while a sand bag was put on the left anterior chest wall. The weight of the sand bag was increased from 2 to 5 kg gradually. The respiratory depth therefore increased day by day, while the respiratory frequency decreased to 10 times per minute.
Acupuncture points of choice were Hegu, Waiguan, Feishu and Xinshu. Of these 60 cases, the threshold of two-points discrimination, the pain threshold and the skin temperature were determined before and after acupuncture. All values increased after acupuncture in 93% of the patients. This coincided with success rate 95.5%. It is therefore hardly to say there were no definite relationships between the pain tolerance threshold, skin electric resistance and the acupuncture anesthetic effect.
In comparison with 100 similar operations under general anesthesia, acupuncture anesthesia was definitely superior to the former. Among those under the general anesthesia, 1 patient died of cerebral emboli, 1 of heart failure, and 1 complicated with psychic disorder and 60% of them suffered from cough, while in those under acupuncture anesthesia only 1 patient developed cardiogenic shock at the end of the operation and recovered immediately after proper treatment. Besides only 30% of them sufferred from cough. They usually took diet earlier and recovered more quickly.
Under acupuncture anesthesia, even when the chest cavity was opened, oxygenation was, as a rule, enriched by using the mask instead of the endotracheal tube. There was however one exception who developed pulmonary edema during the operation. 10 patients had their blood gas analysed. The PO[2], PCO[2] and O[2] saturation all were within the normal ranges.
It could be said that acupuncture anesthesia for mitral commissurotomy has definite advantages but the incomplete analgesia is the chief drawback and needs further investigation.
No comments:
Post a Comment