Saturday, June 14, 2008

Surgery For Hyperthyroidism Under Acupuncture Anesthesia

Zhuang Liding, Yang Baoheng, Wang Xiuhua, Luo Laikui, Zhu Yu (Dept. of Surgery, Capital Hospital, Chinese Academy of Medical Science)

From 1972 to 1977, 276 operations for hyperthyroidism were done under acupuncture anesthesia. Premedication, indications for the operation and operative procedures were quite similar to those with drug anesthesia. Among the following 4 groups of acupuncture points, i.e. Futu, Hegu, NeiguanZusanli and ear acupuncture, there were no appreciable differences (P>0.05) in anesthetic efficacy. According to the national standard, 99.6% of the cases were successful and 90.6% were judged as excellent and good.


The following table shows the superiorities of acupuncture anesthesia over drug anesthesia.

Selecting at random 10 thyroidectomies under drug anesthesia and another 10 under acupuncture anesthesia, we found that as the operation started, the pulse of the former group became more frequent than that of the latter group, although there was not much difference prior to the operations.

This phenomenon suggests that acupuncture anesthesia has definite advantages over drug anesthesia in many aspects, i.e. less disturbance of pulse rate, less incidence of thyroid crisis and fewer cases of vocal cord paralysis. It is suggested, therefore, that acupuncture anesthesia when applied to operation for hyperthyroidism, in addition to the relief of pain, may exert some regulatory effect on various physiological functions.


As for the actual substance responsible for the regulatory work, and how these substances work, these questions are certainly the fundamentals of the art and science of acupuncture which warrant further investigations.

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