RESPECTIVE EFFECTS INDUCED BY ACUPUNCTURE ANESTHESIA AND BY LOCAL ANESTHESIA ON PATIENTS UNDER SUBTOTAL GASTRECTOMY

Clien Daozhi, Chen Jiali, Zhang Shuhua, Liao Yingjiang

(Chengdu Institute of TCM, Sichuan)

Observations purporting to study the anesthetic effects brought about by anesthesia of acupuncture on patients throughout the continuance of subtotal gastrectomy were made as scheduled; indications relevant to this procedure were also inquired into. We have so far conducted 24 cases of subtotal gastrectomy, being carried out under the conditions conducive to the accomplishment, of operation for which the selection of points, the use of supplementary drugs, performers of operations and uniform standards in the assessment of grades had all been arranged beforehand. Such collectible as comparisons between acupuncture anesthesia and local one in connection with their respective effects, dosage of supplementary drugs, blood pressures taken during the operation, changes in pules rate, responses to visceral traction all were obtained in the course of monitoring. Results are available as follows: the anesthetic effects concerned with controlled group were divided into three grades (rather, three subsets), i.e., excellent, fairly good and failure.

Of all twelve cases, four belong to Grade I, seven subject to the Grade II, only one failed. Rate of success up to 91,6%; whereas in another group, whose members were given the local anesthesia, only one out of twelve was of Grade I; nine cases belonged to Grade II, and three were of failure. The rate of success was 75%. Each person of the control group was given 15 ml. 0.5-1% Novocaine on the average as supplementary agent, while in the cases of local anesthesia, each was administered 36 ml. of the same drug in same concentration. Results of BP were gathered in the performances of taking skin specimens, of invasive probing (exploratory incision) as well as data taken during the excision of duodenum, the suspension of jejunum, and the operation of gastrojejunostomy. Blood pressures were also taken during the closure of incision in the abdomen and in the time of suturing the skins. Changes either in BP or in pulse rate showed a regularity less in variation than those in patients of other group; in addition, the patients proved to be less in response to the visceral traction than those of the group engaged in the procedure of local anesthesia did.

Only one of the control group suffered from nausea and vomiting, which was in striking contrast to the group given the local aneshesia method of whose members six (50%) had both nausea and vomiting.

The aforementioned facts manifest the effect of acupuncture anethesia in subtotal gastrectomy is superior to that of local anesthesia.