针药复合麻醉对甲状腺手术患者的影响及穴位特异性

来源 :中国中西医结合麻醉学会年会暨第二届全国中西医结合麻醉学术研讨会 | 被引量 : 0次 | 上传用户:valgrind2
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  目的:经皮穴位电刺激(Transcutaneous Electrical Acupoint Stimulation,TEAS)具有镇痛效应及降低围术期炎症反应、调节免疫功能、促进氧合的作用.通过本研究观察不同组方的经皮穴位电刺激复合全身麻醉对甲状腺手术患者的麻醉效果,探讨经皮穴位电刺激复合全麻在甲状腺手术中的最佳穴位配伍.方法 1.1入组和分组:选择择期需要甲状腺手术患者90例,19-65岁,性别不限,符合入组条件.
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目的:探讨右美托咪定(Dex)对三尖瓣下移畸形(Ebstein畸形)矫治术患者麻醉期间血流动力学、右心功能和室上性心动过速发生率的影响.方法:选择20例体外循环下行心内直视Ebstein畸形矫治术患者,随机数字表法均分为右美托咪定组(D组)和对照组(C组).D组麻醉诱导前15 min内静脉泵注0.004%Dex负荷剂量0.5 μ g/kg,诱导后吸入2%七氟醚、泵注Dex 0.7 μ g/(kg·
本文就我院百例肝叶切除术中筛选出42例麻醉效果优级的病历做一分析。发现肝叶切除术中对病人生理扰乱大,出血多给麻醉管理带来一定难度。因此在选用硬膜外麻醉方法时,麻醉平面一定达体表4-5肋间,这样减轻手术牵拉反应。同时,加强心电、血压监测,严格计算麻醉药物的入量,作用时间和病人出入液体量。在关键手术步骤时要与手术医生密切配合,使病人较平稳的度过手术。