CAJ | 학술논문

目的：观察全麻联合针刺对老年腹部手术中血流动力学、应激反应及全麻药用量的影响。方法：80例择期行腹部手术老年患者随机分为全麻组（A组）和全麻联合针刺组（B组），B组全麻诱导前先行针刺诱导，连续监测血流动力学变化，检测麻醉前、切皮后和术毕血清皮质醇（Cor）、去甲肾上腺素（NE）、肾上腺素（E）和血糖（Glu）浓度。结果：A组气管插管后1 min、切皮时、拔管毕的HR、MAP显著高于B组(P＜0.05)，切皮后及术毕B组血清Cor、NE 、E及Glu浓度明显降低（P＜0.05），B组术中丙泊酚、芬太尼用量减少，睁眼时间、完成指令时间、定位功能恢复时间缩短，术后躁动发生率低（P＜0.05）。结论：全麻联合针刺应用于老年患者腹部手术可使血流动力学稳定、应激反应降低、全麻药用量及术后躁动例数减少。
목적：관찰전마연합침자대노년복부수술중혈류동역학、응격반응급전마약용량적영향。방법：80례택기행복부수술노년환자수궤분위전마조（A조）화전마연합침자조（B조），B조전마유도전선행침자유도，련속감측혈류동역학변화，검측마취전、절피후화술필혈청피질순（Cor）、거갑신상선소（NE）、신상선소（E）화혈당（Glu）농도。결과：A조기관삽관후1 min、절피시、발관필적HR、MAP현저고우B조(P＜0.05)，절피후급술필B조혈청Cor、NE 、E급Glu농도명현강저（P＜0.05），B조술중병박분、분태니용량감소，정안시간、완성지령시간、정위공능회복시간축단，술후조동발생솔저（P＜0.05）。결론：전마연합침자응용우노년환자복부수술가사혈류동역학은정、응격반응강저、전마약용량급술후조동례수감소。
Objective To evaluate the efficacy of general anesthesia combined with acupuncture in abdomi-nal surgery for the elderly patients. Methods Eighty elderly patients undergoing abdominal surgery were ran-domly divided into group A (n=40) receiving general anesthesia and group B(n=40)receiving general anesthesia combined with acupuncture. In group B, the acupuncture points were punctured by twisting manipulations. Hae-modynamics were monitored, while the plasma levels of cortisone(Cor), norephedrine(NE), ephedrine(E) and glu-cose(Glu) were measured before anesthesia and at the end of surgery respectively. Results The plasma levels of Cor、NE 、E and Glu were significantly higher in group A than those in group B in postoperation (P<0.05), while postoperative restlessness and general anesthesia dosage were lower in group B than those in group A(P<0.05). Conclusion Combined acupuncture assisted general anesthesia could stabilize the hemodynamics, re-duce the stress to the surgery in elderly patients undergoing abdominal surgery, thus being suitable and favor-able for these patients.