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针刺麻醉与局部麻醉对慢性鼻炎下鼻甲肥大行低温等离子射频消融术时血压、心率影响的对照研究

赵莹莹 孙书臣 时金华 贾擎

中国中西医结合杂志2012,Vol.32Issue(10):1358-1360,3.
中国中西医结合杂志2012,Vol.32Issue(10):1358-1360,3.

针刺麻醉与局部麻醉对慢性鼻炎下鼻甲肥大行低温等离子射频消融术时血压、心率影响的对照研究

Contrast Study of Acupuncture Anesthesia and Local Anesthesia: Their Effects on the Blood Pressure and the Heart Rate in Chronic Rhinitis Patients Accompanied Inferior Turbinate Hypertrophy in Low Temperature Radiofrequency Ablation

赵莹莹 1孙书臣 1时金华 2贾擎2

作者信息

  • 1. 中国中医科学院广安门医院耳鼻喉科,北京100053
  • 2. 中国中医科学院广安门医院麻醉科,北京100053
  • 折叠

摘要

Abstract

Objective To compare the effects of acupuncture anesthesia (AA) and local anesthesia (LA) on the blood pressure (BP) and the heart rate (HR) in chronic rhinitis patients accompanied inferior turbinate hypertrophy in low temperature radiofrequency ablation (RFA). Methods Totally 61 chronic rhinitis patients accompanied inferior turbinate hypertrophy were randomly assigned to the AA group (31 cases) and the control group (30 cases). All patients received RFA respectively under AA and RA. Their heart rate (HR), systolic pressure (SP), diastolic pressure (DP), and mean pressure (MP) were recorded and compared at 10 minutes after their entry into the operating room, immediately before surgery, intraoperation, and 5 min after operation. Results When compared with the control group at the same time points, the SP, DP, MP, and HR all decreased at intraoperation and 5 min after operation in the AA group. There was statistical difference in the SP on the right side at the 2nd melting point and the HR on the left side at the 2nd melting point between the two groups (P<0.05). Compared with the same group at 10 min after entry into the operating room, the SP on the right side at the 1st melting point, the SP, DP, and MP on the right side at the 2nd melting point, the SP, DP, and MP on the left side at the 1st melting point, and the SP on the left side at the 2nd melting point all obviously increased with statistical difference (P<0.05, P<0.01). When compared with the same group at 10 min after entry into the operating room and immediately before surgery, there was no statistical difference in the SP, DP, MP, or HR of the AA group at intraoperation and 5 min after operation (P >0.05). When compared with the same group at 10 min after entry into the operating room and immediately before surgery, there was no statistical difference in HR of the control group at intraoperation and 5 min after operation (P>0.05). Conclusion Patients undergoing AA had less fluctuation of the BP and the HR, indicating AA had better analgesic effects.

关键词

针刺麻醉/局部麻醉/射频消融术/血压/心率/慢性鼻炎下鼻甲肥大

Key words

acupuncture anesthesia/ local anesthesia/ radiofrequency ablation/ blood pressure/ heart rate/ chronic rhinitis accompanied inferior turbinate hypertrophy

引用本文复制引用

赵莹莹,孙书臣,时金华,贾擎..针刺麻醉与局部麻醉对慢性鼻炎下鼻甲肥大行低温等离子射频消融术时血压、心率影响的对照研究[J].中国中西医结合杂志,2012,32(10):1358-1360,3.

中国中西医结合杂志

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