Cooperative Group of acupuncture anesthesia for gastrectomy, Beijing Medical College
The pre-operative evaluation of the effect of acupuncture anesthesia was carried out for the purpose of further extending the application of acupuncture anesthesia, ensuring its effectiveness, and facilitating the selection of cases for gastrectomy, as well as providing leads for the understanding of the principle of acupuncture anesthesia. Therefore, this subject is very important to clincal and theoretical study of acupuncture anesthesia.
The authors hold that the effect of acupuncture anesthesia depends on the regulatory function of the human body, which is influenced by many complicated factors. Therefore, it is necessary to use various indices, which can complement each other, to make an evaluation.
This article deals with the results of the application of the basic pain tolerance threshold, the rate of change of pain tolerance threshold after acupuncture and the estimation of vaso-motor reaction index in 51 cases of subtotal gastrectomy to predict the effect of acupuncture anesthesia. 3 days before operation, in a laboratory, take the logarithmic value of the basic pain tolerance threshold at the incisional area on the upper abdomen with a potassium iontophoresis dolorimeter, and the stroke volume wave at the resting state with the photoelectric converter, then insert the needle into Xiajuxu point on the right side of lower leg, and observe the logarithm of the changing value of pain tolerance threshold at 10 minutes, 20 minutes, 30 minutes and 10 minutes after acupuncture respectively. The clinical conditions are basically stable. The measured results are compared with the effect of acupuncture anesthesia and skin analgesia, (incision reaction). The results are as follows:
In this group, the effects of acupuncture anesthesia and skin analgesia are good when the basic pain tolerance threshold is high, the basic line of the stroke volume wave is stable, and the autogenous wave is small and scarce.
Select the above-mentioned three indices and find out the relationship and probability between each index and the effect of acupuncture anesthesia and skin analgesia which is to be converted into representative value in round number and made into an evaluating chart for gastrectomy under acupuncture anesthesia numerically, systematically and more scientifically.
According to the evaluation, check up the chart, add the figures of each column in the chart, and the four sums are obtained. Compare the first two sums, the bigger ones are the evaluating grades of acupuncture anesthesia. Compare the last two sums, the bigger ones are the grades of skin analgesia.
The coincidence rate is as follows:
The effect of acupuncture anesthesia; 67%.
The effect of skin analgesia; 80%.
In discussion, the author points out that the coincidence rate is not ideal yet. The reason is that the influenceng factors are numerous and complex. We have not considered the degree of complexity of the disease, the psychological factors of the patient, and the differential statistics, which await further research hereafter.
The pre-operative evaluation of the effect of acupuncture anesthesia was carried out for the purpose of further extending the application of acupuncture anesthesia, ensuring its effectiveness, and facilitating the selection of cases for gastrectomy, as well as providing leads for the understanding of the principle of acupuncture anesthesia. Therefore, this subject is very important to clincal and theoretical study of acupuncture anesthesia.
The authors hold that the effect of acupuncture anesthesia depends on the regulatory function of the human body, which is influenced by many complicated factors. Therefore, it is necessary to use various indices, which can complement each other, to make an evaluation.
This article deals with the results of the application of the basic pain tolerance threshold, the rate of change of pain tolerance threshold after acupuncture and the estimation of vaso-motor reaction index in 51 cases of subtotal gastrectomy to predict the effect of acupuncture anesthesia. 3 days before operation, in a laboratory, take the logarithmic value of the basic pain tolerance threshold at the incisional area on the upper abdomen with a potassium iontophoresis dolorimeter, and the stroke volume wave at the resting state with the photoelectric converter, then insert the needle into Xiajuxu point on the right side of lower leg, and observe the logarithm of the changing value of pain tolerance threshold at 10 minutes, 20 minutes, 30 minutes and 10 minutes after acupuncture respectively. The clinical conditions are basically stable. The measured results are compared with the effect of acupuncture anesthesia and skin analgesia, (incision reaction). The results are as follows:
In this group, the effects of acupuncture anesthesia and skin analgesia are good when the basic pain tolerance threshold is high, the basic line of the stroke volume wave is stable, and the autogenous wave is small and scarce.
Select the above-mentioned three indices and find out the relationship and probability between each index and the effect of acupuncture anesthesia and skin analgesia which is to be converted into representative value in round number and made into an evaluating chart for gastrectomy under acupuncture anesthesia numerically, systematically and more scientifically.
According to the evaluation, check up the chart, add the figures of each column in the chart, and the four sums are obtained. Compare the first two sums, the bigger ones are the evaluating grades of acupuncture anesthesia. Compare the last two sums, the bigger ones are the grades of skin analgesia.
The coincidence rate is as follows:
The effect of acupuncture anesthesia; 67%.
The effect of skin analgesia; 80%.
In discussion, the author points out that the coincidence rate is not ideal yet. The reason is that the influenceng factors are numerous and complex. We have not considered the degree of complexity of the disease, the psychological factors of the patient, and the differential statistics, which await further research hereafter.
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