Xu Qiming (Department of Anesthesiology, first Hospital, Hunan Medical College)
From Dec. 1977 to Dec. 1978, dilantin was used in 340 surgical operations under acupuncture anesthesia. Preliminary results were satisfactory. In general, dilantin 0.1 t.i.d. was given before the day of operation, only a few patients recieved dilantin for 2-3 days. 30% glucose in distilled water (200ml) and MgSO[4] 2-3 grams were added by intravenous infusion for a number of cases during the induction period of acupuncture anesthesia.
1. In 284 operations on the neck, brain, limbs or eye, dilantin was used only. The results of acupuncture anesthesia were rated excellent or good in 266 cases (93.67%).
In this series, the majority of the cases was subtotal thyroidectomy. In 1977, before the adoption of dilantin, the excellent or good results of acupuncture anesthesia for this operation were 75.43% in our hospital, but the excellent or good results in this series were 94.2% (P<0.005). Comparing the results of acupuncture anesthesia in this series with the results in 1977, the excellent rate for brain surgery was raised from 53.3% to 71.4%, and the excellent or good results for eye surgery and meniscectomy increased by 15.8% and 12.85% respectively.
2. In 56 cases of G.U. and abdominal surgery, we used dilantin, hypertonic glucose and MgSO[4]. Analgesic effect was excellent or good in 51 cases (91.07%), muscular relaxation improved, nausea and pulling reflexes slightened.
3. According to our study on the prediction test before operation, we had observed that if the patients were in low spirits and fear, and with poor needling tolerances, their palms sweated after the insertion of needles or starting of electrostimulation of points, the results of acupuncture anesthesia would be poor. But in this series, the analgesic effect of acupuncture anesthesia in most of such patients were rated excellent or good. By Chi-square test, the difference was very significant (P<0.005). This fact gives evidence that dilantin can improve the analgesic effect of acupuncture anesthesia.
The mechanism of the effect of dilantin in acupuncture anesthesia is obscure, yet we suggest a possibility that dilantin may depress the central norepinephrine to a certain degree.
From Dec. 1977 to Dec. 1978, dilantin was used in 340 surgical operations under acupuncture anesthesia. Preliminary results were satisfactory. In general, dilantin 0.1 t.i.d. was given before the day of operation, only a few patients recieved dilantin for 2-3 days. 30% glucose in distilled water (200ml) and MgSO[4] 2-3 grams were added by intravenous infusion for a number of cases during the induction period of acupuncture anesthesia.
1. In 284 operations on the neck, brain, limbs or eye, dilantin was used only. The results of acupuncture anesthesia were rated excellent or good in 266 cases (93.67%).
In this series, the majority of the cases was subtotal thyroidectomy. In 1977, before the adoption of dilantin, the excellent or good results of acupuncture anesthesia for this operation were 75.43% in our hospital, but the excellent or good results in this series were 94.2% (P<0.005). Comparing the results of acupuncture anesthesia in this series with the results in 1977, the excellent rate for brain surgery was raised from 53.3% to 71.4%, and the excellent or good results for eye surgery and meniscectomy increased by 15.8% and 12.85% respectively.
2. In 56 cases of G.U. and abdominal surgery, we used dilantin, hypertonic glucose and MgSO[4]. Analgesic effect was excellent or good in 51 cases (91.07%), muscular relaxation improved, nausea and pulling reflexes slightened.
3. According to our study on the prediction test before operation, we had observed that if the patients were in low spirits and fear, and with poor needling tolerances, their palms sweated after the insertion of needles or starting of electrostimulation of points, the results of acupuncture anesthesia would be poor. But in this series, the analgesic effect of acupuncture anesthesia in most of such patients were rated excellent or good. By Chi-square test, the difference was very significant (P<0.005). This fact gives evidence that dilantin can improve the analgesic effect of acupuncture anesthesia.
The mechanism of the effect of dilantin in acupuncture anesthesia is obscure, yet we suggest a possibility that dilantin may depress the central norepinephrine to a certain degree.
No comments:
Post a Comment