中国中西医结合杂志2001，Vol.21Issue(3)：180-182,3.
经皮穴位电刺激配合全麻行异氟醚控制性降压对组织氧代谢的影响
Effects of Combined Transdermal Acupoint Electric Stimulation and Isoflurane Anesthesia on Isoflurane-Induced Hypotension and Tissue Oxygen Metabolism in Patients Undergoing Craniotomy
摘要
Abstract
Objective: To observe the effects of combined transdermalacupoint electric stimulation and isoflurane anesthesia on isoflurane-induced hypotension and tissue oxygen metabolism in patients undergoing craniotomy. Methods: Forty-two patients with brain tumor of ASA physical status Ⅰ or Ⅱ and scheduled for elective surgery were randomly divided into two groups. The craniotomy was undergoing in Group A with isoflurane anesthesia, while in Group B, with combined transdermal acupoint electric stimulation (TAES) and isoflurane anesthesia. Isoflurane induced hypotension was performed in both groups by augmenting the concentration of isoflurane to lower the mean arterial pressure than before anesthesia for 30%－40% and maintain for 30－45 mins. The tissue oxygen metabolism, blood gas and arterial lactic acid level before, during and after hypotension were monitored by Swan-Ganz floating catheterization. Results: As compared with before hypotension, the pulmonary arterial and mixed with venous blood oxygen saturation lowered and oxygen supply lowered, and oxygen uptake increased significantly in both groups (P＜0.05), but the extent of changes in oxygen metabolic criteria in Group B were all lesser than those in Group A (P＜0.05). Conclusion: Combined acupoint electric stimulation and general anesthesia could maintain the tissue oxygen supply and demand balance better in the isoflurane-induced hypotension process.关键词
经皮穴位电刺激/异氟醚/氧代谢/控制性降压分类
医药卫生引用本文复制引用
王均炉,谢文霞,张琦..经皮穴位电刺激配合全麻行异氟醚控制性降压对组织氧代谢的影响[J].中国中西医结合杂志,2001,21(3):180-182,3.基金项目
浙江省中医药管理局基金资助课题(No.2000-C-60) （No.2000-C-60）
