This paper presents the clinical observation of 100 cases of subtotal gastrectomy performed under acupuncture anesthesia. The ages of the patients ranged between 19 and 67 years. All the patients suffered from gastric or duodenal ulcers. Two groups of acupuncture points were used.
Group I. Bilateral Huatuojiaji and Zusanli, Yintang, Xinhui.
Group II. Yinlingquan penetrating to Yanglinquan.
Three different frequencies of electric stimulation 4 Hz, 100 Hz and 1000 Hz were used at random. Adjuvants included pethidine 1.5 mg/kg and 0.5% procaine not more than 10 ml for local infiltration. All patients took a liquid preparations of 30 gms of raw Polygonum Multiflorum 16 hrs. prior to operation and of 20 gms of Magnolia Officinalis and 12 gms of Palonia Lactiflora 8 hrs. prior to operation. The effect of acupuncture was estimated according to the criteria adopted by national conference. The result was excellent in 21 cases, good in 57 cases and fair in 20 cases, failed in 2 cases. There was no significant difference in efficacy between the two groups of points. The anesthetic efficacy was better in the operations for gastric ulcer than those for duodenal ulcer (more successful in Billroth I gastrectomy than in Billroth II). The shorter the duration of operation the better the effect of acupuncture. Incomplete analgesia and inadequate muscle relaxation were the disadvantages of acupuncture anesthesia, the blood pressure and pulse rate, however, were rather stable during the operations in most of the patients. Acupuncture anesthesia is considered to be especially suitable for old patients and those with poor general condition.
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