针刺在开颅术中脑保护作用的临床研究

被引：18

作者：

陈建良

何升学

吕文

吴耀晨

郭继龙

骆均梵

何爽

不详

机构：

[1] 暨南大学医学院第二附属医院深圳市人民医院

[2] 暨南大学医学院第二附属医院深圳市人民医院广东

[3] 广东

来源：

中国针灸 | 2003年 / 06期

关键词：

颅骨切开术; 脑/代谢; 脑/针灸效应;

D O I：

10.13703/j.0255-2930.2003.06.003

中图分类号：

R246 [针灸疗法临床应用];

学科分类号：

100512 ;

摘要：

目的 :探讨针刺腧穴对开颅术中患者脑组织氧分压 (PbtO2 )、二氧化碳分压 (PbtCO2 )和 pH值的影响及临床意义。方法 :对 2 0例在全麻下行开颅术患者术中持续进行脑组织氧代谢监测 ,针刺涌泉、厉兑 1 0分钟 ,比较针刺前 5分钟、针刺 1 0分钟、针刺停止后 5分钟PbtO2 、PbtCO2 、pH值、心率 (HR)和平均动脉压 (MAP)的变化。结果 :PbtO2 、PbtCO2 和 pH值在针刺中和针刺停止后 5分钟内与针刺前比较差异均有显著性意义 (P <0 0 5 ) ,HR和MAP在针刺中增加 ,针刺停止后回到针刺前水平。结论 :针刺腧穴可增加PbtO2 和 pH值 ,降低PbtCO2 ,即能增加脑血流量 ,改善脑组织微循环和脑组织氧代谢 ,对脑组织起保护作用。脑组织氧代谢监测仪所测参数能直接动态反映脑组织的病理生理变化 ,及时发现脑组织缺血缺氧 ,对指导开颅术中的脑保护治疗有重要意义

引用

页码：10 / 13

页数：4

共 13 条

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