A randomized, controlled study involving 120 patients.In 20 of these, surgery was carried out under general anaesthesia in combination with acupuncture analgesia. In 100 patients, acupuncture analgesia was applied in addition to traditional postoperative analgesia.
Sample Count
120
Age
35-40
Control
Std
Chemical anaesthesia alone was applied to 30 patients
Experiment
acupunctureanalgesia was applied in addition to traditional postoperative analgesia(n=100)
Thirty minutes before surgery 0.5ml of 0.1% Atropine Sulphate and Diazepam 7.5 mg were given intramuscularly as premedication. For the patients in group I, acupuncture stimulation was performed 10-15 min before the induction of conventional general anaesthesia using neuroleptanalgesia and endo- tracheal intubation. A total of 200-300 mg of 1% barbiturate solution was used for preliminary anaesthesia. Muscle relaxants of short- and long-term action were also used. When nasal intubation had been carried out, 0.5% halothane was given (with oxygen) and within 1.5-3 min, the percentage was increased to 3-4%. A total of 0.5-2% of inhaled volume of halothane was used to maintain anaesthesia.
Stimulation Method
MS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
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Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
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Description needles were inserted into the acupoints and using slow, rolling manual movements increasing the amplitude step by step at the same time provoking especially strong patient sensations (gravity, breaking, growing numb, etc). Thirty minutes before surgery 0.5ml of 0.1% Atropine Sulphate and Diazepam 7.5mg were given intramuscularlyas premedication. For the patients in group I, acupuncture stimulation was performed 10–15min before the induction of conventional general anaesthesia using neuroleptanalgesia and endotracheal intubation. A total of 200–300mg of 1% barbiturate solution was used for preliminaryanaesthesia. Muscle relaxants of short- and long-term action were also used. When nasal intubation had been carried out, 0.5% halothane was given (with oxygen) and within 1.5–3min, the percentage was increased to 3–4%. A total of 0.5–2% of inhaled volume of halothane was used to aintain anaesthesia.
Anesthesia Method
GA
Clinical Trial Type
A randomized, controlled study
Adverse Effects
In the first few minutes after stimulation began, it was usual for patients to show a mild stress reaction with increasing blood pressure, faster respiration and heart rate. These quicklyreturned to normal or near normal levels, and should remain so during the operation.
Effector
When acupuncture analgesia was used, the pulse rate and blood pressure during surgery generally remained stable. In the present study serum cortisol was also measured and showed only minor elevation.The results of consecutive studies have led the authors to conclude that in the postoperative period, especiallyduring the first 24h when the pain was most intense, it was necessaryto applyfirst variant of the brake method of acupuncture points stimulation for 40–50min with additional manual twirling of the needles for the first 10–15min, at an interval of 3–5min. If the postoperative pain recurred or increased during the first postoperative day it was necessary to carryout between 1 and 4 sessions of acupuncture stimulation.
Acupuncture analgesia and its application in cranio-maxillofacial surgical procedures.
Abstract
BACKGROUND: The present study investigated the use of acupuncture analgesia in maxillofacial surgery. PATIENTS AND METHODS: Acupuncture analgesia was applied in 120 patients. In 20 of these, surgery was carried out under general anaesthesia in combination with acupuncture analgesia. In 100 patients, acupuncture analgesia was applied in addition to traditional postoperative analgesia. In case of troublesome postoperative pain, it was necessary to carry out additional sessions (1-4) of acupuncture stimulation. RESULTS: When acupuncture analgesia was used, the pulse rate and blood pressure during surgery generally remained stable. In the present study serum cortisol was also measured and showed only minor elevation. DISCUSSION: The present study demonstrated favourable results when the first variant of the brake method of acupoint stimulation was used for 40-50 min with additional manual twirling of the needles. This involved inserting needles into the acupoints and, using slow, rolling manual movements increasing the amplitude step-by-step provoking simultaneous especially strong patient sensations. CONCLUSION: Acupuncture analgesia can be a useful adjunct to conventional anaesthesia in maxillofacial surgery."
