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纸质出版日期:2014
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江涛, 高冰, 张江, 等. 中医针药并用对全麻复苏过程有益干预[J]. 中国实验方剂学杂志, 2014,20(10):223-226.
JIANG Tao, GAO Bing, ZHANG Jiang, et al. Intervention in Recovery Process of General Anesthesia by Combination of Traditional Chinese Medicine and Acupucture[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(10): 223-226.
江涛, 高冰, 张江, 等. 中医针药并用对全麻复苏过程有益干预[J]. 中国实验方剂学杂志, 2014,20(10):223-226. DOI: 10.13422/j.cnki.syfjx.2014100223.
JIANG Tao, GAO Bing, ZHANG Jiang, et al. Intervention in Recovery Process of General Anesthesia by Combination of Traditional Chinese Medicine and Acupucture[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(10): 223-226. DOI: 10.13422/j.cnki.syfjx.2014100223.
目的:针对外科全麻术后复苏病人,探索中医辨证治疗规律,运用中医针刺和药物手段,促进生命体征恢复正常和减少术后并发症的发生。方法:全麻腹部手术患者120例,中医辨证分型(阳虚证60例,阴虚证60例)后分别随机入治疗组和对照组,每型治疗组及对照组各30例。全麻诱导和维持方法相同,均在手术结束后开始静脉给药。对照组输注生理盐水,治疗组予电针刺及分型静滴参附注射液或参麦注射液。观察指标:血压(SBP/DBP)、心率(HR)、体温、麻醉复苏时间、恶心、呕吐发生率。结果:两型患者,治疗组与对照组比较,SBP/DBP,HR恢复正常时间更短(P<0.05),体温变化不明显;麻醉复苏时间缩短(P<0.05),恶心、呕吐发生率减少(P<0.05)。结论:外科全麻术后复苏病人可行中医针药辨证治疗,可有效缩短全麻复苏病人苏醒时间,维持循环稳定,减少并发症。
Objective: To observa the clinical efficiency of ntervention in recovery process of general anesthesia by combination of traditional Chinese medicine(TCM) and acupucture. Method: One hundred and twenty patients of general anesthesia abdominal surgery (TCM syndrome:Yang deficiency
60 cases;Yin deficiency
60 cases) were randomized into treatment and control groups. Each type of treatment group and control group got 30 cases. Anesthesia was induced and maintained in the same way
and after the end of surgery medicines were administered intravenously. Infusion of normal saline was for control group.Treatment group was given electric acupuncture
and type Shenfu injection or in;travenous infusion of silent myocardial ischemia(SMI). Outcome measures:blood pressure (SBP/DBP)
heart rate (HR)
body temperature
anesthesia recovery time
nausea
vomiting incidence. Result: Treatment group
compared with the control group
the recovery time for blood pressure (SBP/DBP)
and HR was shorter(P<0.05);the temperature did not change significantly;anesthesia recovery time was shortened (P<0.05);the incidence of nausea and vomiting was reduced(P<0.05). Conclusion: For the recovery of of surgical patients after general anesthesia
TCM acupuncture is feasible.TCM treatment can effectively shorten the patients' recovery time
maintain loop stability and reduce complications.
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