针刺麻醉在鼻部手术中的运用及探讨

从鼻腔手术的不同麻醉方式的运用特点、针刺麻醉选穴原则、电针频率及术中评价等方面论述。针刺复合局部麻醉既可以防止局麻的镇痛不全,又可以避免全麻的不良反应,同时可减少麻醉药用量,体现了针刺麻醉自身的独特优势。目前初步认为取迎香及印堂,频率为30Hz,波型为连续波,用于鼻部手术可取得较满意效果。但目前针刺麻醉运用于鼻内镜手术的临床报道不多,且缺乏操作规范,希望优化针刺麻醉鼻腔手术的操作流程,促进针刺麻醉鼻腔手术的临床推广与应用。

Discussion about acupuncture anesthesia applied to nasal operation

In view of the characteristics of different analgesic methods applied to nasal operation, the principle of point selection in acupuncture anesthesia, the frequency of electroacupuncture and the assessment of operation, it was stated that the compound acupuncture anesthesia not only prevented from incomplete analgesia of local anesthesia, but also avoided the adverse reactions of general anesthesia in this paper. Moreover, by reducing the dose of narcotics, the unique advantage of acupuncture anesthesia could be displayed. At present, it was initially believed that a satisfactory analgesia could be achieved by acupuncture at Yingxiang (LI 2) and Yintang (EX-HN 3), with 30 Hz, continuous wave. But there were not many clinical reports on the application of acupuncture anesthesia in nasal endoscopic operation and the operation was not normalized enough. It was expected to optimize the operation procedure of nasal operation under acupuncture anesthesia and promote the clinical practice of it.