Lee C K, Chien T J, Hsu J C, Yang C Y, Hsiao J M, Huang Y R, Chang C L
Department of Anaesthesiology, 806 General Hospital, Kaohsiung, Taiwan, R.O.C.
Anaesthesia. 1998 Sep;53(9):917-20. doi: 10.1046/j.1365-2044.1998.00535.x.
Laryngospasm occurring after tracheal extubation in children is potentially dangerous. This study uses acupuncture with bloodletting at the Shao Shang (L 11) or Shang Yang (Li 1) acupoints to investigate whether this technique can prevent or treat laryngospasm. Seventy-six patients were randomly divided into two groups. Patients in the acupuncture group (n = 38) were treated with bilateral Shao Shang acupunctures at the end of the operation. Patients in the control group (n = 38) were not. The incidence of laryngospasm in the acupuncture group (5.3%) was less than that in the control group (23.7%) (p < 0.05). If laryngospasm developed, patients were immediately treated with acupuncture at either the Shao Shang or Shang Yang acupoints. As judged by an increase in peripheral oxygen saturation, the laryngospasm was relieved within 1 min of acupuncture in all patients. It is concluded that acupuncture with bloodletting at the Shao Shang acupoint may prevent and treat laryngospasm occurring after tracheal extubation in children.
小儿气管拔管后发生喉痉挛具有潜在危险性。本研究采用少商（L 11）或商阳（LI 1）穴位针刺放血法，以探究该技术能否预防或治疗喉痉挛。76例患者被随机分为两组。针刺组（n = 38）在手术结束时接受双侧少商穴针刺治疗。对照组（n = 38）未接受该治疗。针刺组喉痉挛发生率（5.3%）低于对照组（23.7%）（p < 0.05）。若发生喉痉挛，患者立即接受少商或商阳穴针刺治疗。根据外周血氧饱和度升高判断，所有患者在针刺后1分钟内喉痉挛均得到缓解。结论是少商穴针刺放血可预防和治疗小儿气管拔管后发生的喉痉挛。
