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Electroacupuncture Intervention Combined with General Anesthesia for 80 Cases of Heart Valve Replacement Surgery Under Cardiopulmonary BypassCN

CHI Hao;ZHOU Wen-xiong;WU Yao-yao;CHEN Tong-yu;GE Wen;YUAN Lan;SHEN Wei-dong;ZHOU Jia;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine;

Abstract:Objective To determine whether electroacupuncture(EA)intervention combined with general anesthesia(GA)strategy can reduce early post-operative morbidity and medical costs in patients undergoing heart valve replacement operation under cardiopulmonary bypass.Methods A total of 160heart valve replacement surgery patients undergoing cardiopulmonary bypass were randomly divided into GA and EA+GA groups(n=80in each group).Patients of the GA group were given with intravenous injection of Fentanyl,Midazolam,Vecuronium Bromide,etc.and routine tracheal intubation.EA(3-4Hz,2.0-2.2mA)was applied to bilateral Zhongfu(LU 1),Chize(LU 5)and Ximen(PC 4)beginning about 20min before the surgery in the EA+GA group.Endotracheal intubation was not employed but only prepared as a standby for patients of the EA+GA group.The dosage of narcotic drugs,duration of surgery,duration of aortic blockage,rate of cardiac re-beating,volumes of post-operative blood transfusion,discharge volume,cases of post-operative pulmonary infection,vocal cord injury,and the time of first bedoff,first eating and duration in intensive care unit(ICU)residence,etc.were recorded.Results The successful rates of heart valve replacement surgery were similar in both GA and EA+GA groups.Compared with the GA group,the dosages of Fentanyl,Midazolam and Vecuronium of the EA+GA group were significantly lower(P<0.05,P<0.01),the numbers of patients needing blood-transfusion,antibiotics treatment,and suffering from pulmonary infection were fewer,the time of first bed-off and duration of hospitalization and ICU residence were considerably shorter(P<0.05,P<0.01)and the total medical cost was obviously lower(P<0.05)in the EA+GA group.Conclusion EA combined with general anesthesia strategy for heart valve replacement surgery without endotracheal intubation is safe and can reduce post-operative morbidity and medical costs in patients undergoing heart valve replacement surgery under cardiopulmonary bypass.
  • DOI:

    10.13702/j.1000-0607.2014.01.002

  • Series:

    (E) Medicine & Public Health

  • Subject:

    Traditional Chinese Medicine; Surgery

  • Classification Code:

    R246.2

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