National Cooperative Group of Acupuncture Anesthesia for Radical Maxillary Sinusotomy*
*Compiled by Bethune Medical College.
From March to December 1975, 1965 operations for radical maxillary sinusotomy were done under electro-acupuncture anesthesia. The age of the patients ranged from 20 to 40. Most of the patients suffered from chronic maxillary sinusitis.
The patients were divided into two groups according to the different selection of acupuncture points: the adjacent points were Quanliao and Sibai and the distant points were Hegu and Zhigou, all being on the ipsilateral side of the affected sinus.
The results of our study are summarized as follows:
1. The effect of analgesia was satisfactory in both groups. Grade I and II showed good analgesic effect of 87.64% for the adjacent points group and 86.40% for the distant points group.
2. Acupuncture anesthesia was less satisfactory in young people group below 20 years of age. The student group and those who were under nervous tension had poor result as compared with those who were in a quiet state.
3. Patients who received acupuncture anesthesia with reluctance often complained of pain during the operation.
4. Transmission of the needling sensation of a patient seemed to bear some relationship to the efficacy of acupuncture anesthesia, namely, the higher the sensitivity of transmission, the better the effect of acupuncture anesthesia.
5. As for the duration of the operation, the result of acupuncture anesthesia was excellent if the operation was completed within 30 minutes.
The above data were statistically analyzed with P<0.05. There was no statistical significance in the efficacy of acupuncture anesthesia as related to recipes of acupuncture points, sex, premedication and duration of induction.
Our clinical experience indicated that it is very important to give a full explanation to a nervous patient who is to be operated upon under acupuncture anesthesia and sometimes even a sedative is necessary. The amplitude of the pulse wave of stimulation should be gradually enhanced and adjusted during the operation. The operative manipulation should be steady, exact, gentle, and brisk.
*Compiled by Bethune Medical College.
From March to December 1975, 1965 operations for radical maxillary sinusotomy were done under electro-acupuncture anesthesia. The age of the patients ranged from 20 to 40. Most of the patients suffered from chronic maxillary sinusitis.
The patients were divided into two groups according to the different selection of acupuncture points: the adjacent points were Quanliao and Sibai and the distant points were Hegu and Zhigou, all being on the ipsilateral side of the affected sinus.
The results of our study are summarized as follows:
1. The effect of analgesia was satisfactory in both groups. Grade I and II showed good analgesic effect of 87.64% for the adjacent points group and 86.40% for the distant points group.
2. Acupuncture anesthesia was less satisfactory in young people group below 20 years of age. The student group and those who were under nervous tension had poor result as compared with those who were in a quiet state.
3. Patients who received acupuncture anesthesia with reluctance often complained of pain during the operation.
4. Transmission of the needling sensation of a patient seemed to bear some relationship to the efficacy of acupuncture anesthesia, namely, the higher the sensitivity of transmission, the better the effect of acupuncture anesthesia.
5. As for the duration of the operation, the result of acupuncture anesthesia was excellent if the operation was completed within 30 minutes.
The above data were statistically analyzed with P<0.05. There was no statistical significance in the efficacy of acupuncture anesthesia as related to recipes of acupuncture points, sex, premedication and duration of induction.
Our clinical experience indicated that it is very important to give a full explanation to a nervous patient who is to be operated upon under acupuncture anesthesia and sometimes even a sedative is necessary. The amplitude of the pulse wave of stimulation should be gradually enhanced and adjusted during the operation. The operative manipulation should be steady, exact, gentle, and brisk.
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