Pohodenko-Chudakova Irina O
Department of Maxillofacial and Facial Plastic Surgery, Faculty of Stomatology, Belarussian State Medical University, Minsk, Belarus.
J Craniomaxillofac Surg. 2005 Apr;33(2):118-22. doi: 10.1016/j.jcms.2004.10.003.
The present study investigated the use of acupuncture analgesia in maxillofacial surgery.
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.
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 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.
Acupuncture analgesia can be a useful adjunct to conventional anaesthesia in maxillofacial surgery.
本研究调查了针刺镇痛在颌面外科手术中的应用。
120例患者应用了针刺镇痛。其中20例在全身麻醉联合针刺镇痛下进行手术。100例患者在传统术后镇痛基础上应用针刺镇痛。若术后疼痛难以处理，则有必要额外进行1 - 4次针刺刺激。
使用针刺镇痛时，手术期间脉搏率和血压总体保持稳定。本研究还测量了血清皮质醇，结果显示仅有轻微升高。
本研究表明，当采用穴位刺激制动法的第一种变体，针刺40 - 50分钟并额外手动捻转针时，效果良好。这包括将针刺入穴位，通过缓慢、滚动的手动动作逐步增加幅度，引发患者同时产生特别强烈的感觉。
针刺镇痛可作为颌面外科手术中传统麻醉的有用辅助手段。
