针刺在母犬卵巢子宫切除术后麻醉恢复中的作用。

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Amanda Caroline Gomes Graboschii, Carolina Carvalho Dos Santos Lira, Jackellyne Laís Ferreira Lins, Marcia Kikuyo Notomi, Pierre Barnabé Escodro
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引用次数: 0

摘要

背景:麻醉引起的心肺抑制降低了手术质量,延长了术后恢复时间。穴位总督血管26 (GV26)是一个复苏点,可以扭转这种压抑,可以安全使用,没有副作用。目的:评价游离麻醉下行卵巢子宫切除术(OH)母狗GV26的刺激及麻醉恢复时间。方法:麻醉前方案为乙酰丙嗪0.2% (0.1 mg/kg)、盐酸曲马多2 mg/kg,诱导药为咪达唑仑0.5 mg/kg、氯胺酮10 mg/kg。对于对照组,采用标准的OH治疗程序,包括麻醉恢复和术后处理。针刺组(AP)于麻醉诱导后20分钟刺激穴位GV26,维持5分钟。在应用PAM前立即评估呼吸频率、幅度(浅、正常或深)、呼吸运动类型(腹部、腹肋或胸腹)、心率、毛细血管充血时间、温度、有无喉气管反射、有无指间反射,并在治疗后2 (T1)、5 (T2)、10 (T3)、15 (T4)、20 (T5)、25 (T6)和30 (T7)分钟评估。将结果制成表格并进行统计分析。结果:与对照组相比,AP组在任何时候都观察到胸笼振幅的改善,动物保持正常或深呼吸振幅。在T1时,AP组心率(155.5±34.4 bpm)明显高于对照组(105.1±15.4 bpm),恢复时间(54.1±14.9 min)明显低于对照组(79.9±17.9 min)。结论:GV26具有维持呼吸幅值,缩短麻醉恢复时间的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acupuncture in the Anesthetic Recovery of Bitches Submitted to Ovariohysterectomy.

Background: Cardiorespiratory depression caused by anesthesia decreases the quality and increases the time of postoperative recovery. The acupoint Governor Vessel 26 (GV26) is a resuscitation point that can reverse this depression and can be safely used without side effects.

Objectives: The objective of this study was to evaluate the stimulation and anesthetic recovery time of GV26 in bitches submitted to ovariohysterectomy (OH) under dissociative anesthesia.

Methods: As pre-anesthetic protocol, acepromazine 0.2% (0.1 mg/kg) and tramadol hydrochloride (2 mg/kg) was used, and induction was performed using midazolam (0.5 mg/kg) and ketamine (10 mg/kg). For the control group, standard procedure was performed for OH, with anesthetic recovery and post-surgical procedures. For the acupuncture group (AP), the stimulation of acupoint GV26 was performed 20 minutes after the anesthetic induction and maintained for 5 minutes. Respiratory rate, amplitude (superficial, normal or deep), type of respiratory movement (abdominal, abdominocostal or thoracoabdominal), heart rate, capillary filling time, temperature, presence or absence of laryngotracheal reflex, presence or absence of interdigital reflexes were assessed immediately before PAM application, and 2 (T1), 5 (T2), 10 (T3), 15 (T4), 20 (T5), 25 (T6) and 30 (T7) minutes after treatment. The results were tabulated and statistically analyzed.

Results: When comparing the AP group with the control group, an improvement in amplitude of the chest cage was observed at all times, where the animals remained in normal or deep respiratory amplitude. The heart rate was significantly higher for the AP group (155.5 ± 34.4 bpm) than the control group at T1 (105.1 ± 15.4 bpm), while recovery time was lower for the AP group (54.1 ± 14.9 min) when compared to control group (79.9 ± 17.9 min).

Conclusion: The present paper demonstrated the efficacy of GV26 in maintaining adequate respiratory amplitude and decreasing the anesthetic recovery time.

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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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