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jia zhuang xian zhen ma shou shu 482 li zong jie
Author(s): 
Pages: 106-110
Year: Issue:  2
Journal: Acupuncture Research

Keyword:  甲状腺囊肿成功率评定法甲状腺手术女性针麻手术男性老年人甲状腺机能亢进甲状腺次全切除;
Abstract: 482 cases of thyroid surgery were performed up to June 1979. The successful and excellent rateswere 99.5% and 79% respectively. Among the patients, 103 were male and 379 were female. The age of the patients ranged from 16- 73. According to the analysis of data, the analgesic effect of acupuncture anesthesia was to some extentclosely related to the needling points, age, kind of underlying disease, duration of operation and adju-vant drugs, but not related to sex. 1. Comparing the excellent and good rate between the groups of "Futu" "Hegu-Neiguan" as wellas "Zusanli-Shangjuxu" points by means of the X~2 test, the X~2 value was 5.46 (P0.05) showing nostatistical significance. According to the analysis of the 1st and the 3rd grade rate in the above mention-ed groups, the former was in "Futu" group the highest, amounting to 38.7%; the Hegu-Neiguan groupranked 2nd, amounting to 31.9%; and the lowest was in the Zusanli-Shangjuxu group amounting to28.6%. The latter rate in both Futu and Hegu-Neiguan groups amounted to 20%, while in the Zusanli-Shangjuxu group the rate was comparatively lower (25%). 2. Comparing the analytic effect of acupuncture analgesia of different age groups the youth group,the middle aged group and the aged group, the middle-aged group was better than the other two groups,since the excellent rate was the examined by X~2 test; the X~2 value of the middle aged-youth groups andthe middle-aged-aged groups were 30.27 and 12.05 respectively being statistically significant (P0.01). 3. Comparing the analgetic effect of acupuncture analgesia according to the underlying diseases, thecysts, adenoma and hyperthyroidism, the X~2 test showed that the X~2 values for cyst-hyperthyroidismgroup and adenoma-hyperthyroidism group were 6.72 and 10.2 respectively, statistically very significant.For the cyst and adenoma group, the X~2 value was 0.65 with no statistical significance. 4. Comparing the surgical duration of over three hours with that of below 3 hours, the X~2 value was11.24, thus being statistically significant (P0.01). 5. when comparing the analgetic effect of acupuncture analgesia using Adjuvant drug Dolatine alonewith that of the group using Dolatine combined with Scopolamine, the X~2 value was 8.42 being statisti-cally very significant (P0.01). 1. It is considered that every needling point has its relative features. It tends to be that the anal-getic effect of adjucent points is better than that of the remote points. 2. It is considered that individual variations exist and the analgetic effect in middle aged people ismore stable than that in the youth and the aged. 3. It is considered that the analgesic effect is affected by adjuvant drugs. The analgesic effect ofusing Dolantine alone is better than using Dolantine combined with scopotamine. 4. It is also considered that the simpler the underlying disease, the easier the surgical operation,and the shorter the surgical duration, the better the effect of acupuncture analgesia. In short, inspite of the good effect of acupuncture analgesia in thyroidectomy, there still exists thedisadvantage of incomplete analgesia and many other factors that effect the results. If the appropriatepoints are well selected, and adjuvants applied resonably the surgical techniques are improved and the con-fidence of patients in acupuncture analgesia is fully encouraged, the analgesia effect can certainly beenhanced.
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