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针刺复合硬膜外麻醉对移植肾早期功能的影响汪正平 李士通 庄心良 马皓琳 徐国辉 王珍娣 陈守林 陶爱琴 徐 达


  [摘 要] 目的:观察针刺对肾移植术中和术后早期泌尿功能的影响。方法:肾移植手术44例,分别接受硬膜外阻滞、小剂量硬膜外阻滞、针刺复合硬膜外阻滞和针刺复合小剂量硬膜外阻滞,每组11例。针刺取穴:次、三阴交、太溪、足三里。观察移植肾泌尿开始时间、尿流速度和血浆儿茶酚胺浓度。术后连续观察4天肾功能指标。结果:针刺能明显减少硬膜外阻滞局麻药的需要量;复合针刺有助于维持术中循环功能稳定;改善术中和术后早期移植肾的功能;明显提高血浆肾上腺素浓度,而对去甲肾上腺素影响不大。结论:针刺能促进硬膜外麻醉肾移植术后移植肾早期功能恢复。

  [主题词] 肾移植;麻醉,硬膜外;针药复合麻醉

  Effect of Acupuncture Combined with Epidural Anesthesia on Early Function

of Transplanted Kidney

  Wang Zhengping, Li Shitong, Zhuang Xinliang, et al. (Department of

Anesthesiology, Shanghai Municipal First Peoples Hospital, Shanghai 200080,

China)

  [Abstract] Purpose To explore the effect of acupuncture on the function

of transplanted kidney during operation and at the early stage after operation.

Methods 44 cases were randomly divided into 4 groups, 11 cases in each groups.

They received respectively routine epidural blocking, small dosage epidural

blocking, compound acupuncture and routine epidural anesthesia, and compound

acupuncture and small dosage epidural anesthesia. Points selected were Ciliao

(BL 32), Sanyinjiao (SP 6), Taixi (KI 3), and Zusanli (ST 36). The time for

starting secretion of urine, urine flow rate and plasma contents of

catecholamines were observed for 4 days. Results 〖WT5”BZ〗Acupuncture

decreased obviously the dosage of epidural anesthetics, increased the plasma

epinephrine content, and improved renal function during the operation and at

early stage after operation, and the compound acupuncture anesthesia conduced

to maintain stability of circulation function during the operation. Conclusion 

Acupuncture can promote function recovery of the transplanted kidney after

operation under epidural anesthesia.

  [Key words] Kidney Transplantation; Anesthesia, Epidural; Combined Acup

Medic Anesthesia

  肾移植手术常用的麻醉方法之一为硬膜外阻滞。

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