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电针对异氟烷麻醉犬异氟烷最低肺泡浓度及心血管系统的影响

Effects of electroacupuncture on minimum alveolar concentration of isoflurane and cardiovascular system in isoflurane anesthetized dogs.

作者信息

Jeong Seong-Mok

机构信息

College of Veterinary Medicine, Seoul National University, San 56-1, Shillim 9-dong, Kwanak-gu, Seoul, 151-742, Korea.

出版信息

J Vet Sci. 2002 Sep;3(3):193-201.

Abstract

The effects of electroacupuncture (EA) on the minimum alveolar concentration (MAC) and on the cardiovascular system were evaluated with dogs under isoflurane anesthesia. Eight healthy male beagles were randomly assigned to six study groups (five heads/group) with washout intervals of 7 ~ 31 days between experiments for recovery and anesthetic clearance. MAC of isoflurane and cardiovascular parameters were determined after EA at nonacupoint and and at acupoints LI-4, SP-6, ST-36 and TH-8. Electroacupuncture for 30 minutes at LI-4, SP-6, ST-36 and TH-8 acupoints lowered the MAC of isoflurane by 17.5 +/- 3.1%, 21.3 +/- 8.0%, 20.5 +/- 8.2% and 15.6 3.1%, respectively (p < 0.05). However, electrical stimulation of nonacupoint did not induce a significant change in MAC of isoflurane. In the cardiovascular system, the ST-36 group did not induce any significant change in cardiovascular parameters. In the TH-8 group, the mean and diastolic arterial pressure and the systemic vascular resistance were decreased. In the LI-4 group, cardiac output and cardiac index decreased after EA. These results indicate that EA at LI-4, SP-6 and ST-36 have advantages in isoflurane anesthesia in terms of reducing the dose of anesthetics and minimizing cardiovascular side effects.

摘要

在异氟烷麻醉下,对犬评估了电针(EA)对最低肺泡浓度(MAC)及心血管系统的影响。八只健康雄性比格犬被随机分为六个研究组(每组五只),实验之间有7至31天的洗脱期用于恢复和清除麻醉剂。在非穴位以及LI-4、SP-6、ST-36和TH-8穴位进行电针后,测定异氟烷的MAC和心血管参数。在LI-4、SP-6、ST-36和TH-8穴位电针30分钟分别使异氟烷的MAC降低了17.5±3.1%、21.3±8.0%、20.5±8.2%和15.6±3.1%(p<0.05)。然而,非穴位的电刺激未引起异氟烷MAC的显著变化。在心血管系统方面,ST-36组未引起心血管参数的任何显著变化。在TH-8组,平均动脉压、舒张压和全身血管阻力降低。在LI-4组,电针后心输出量和心脏指数降低。这些结果表明,LI-4、SP-6和ST-36穴位的电针在异氟烷麻醉方面,在降低麻醉剂剂量和最小化心血管副作用方面具有优势。

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