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December 2019

Zhen Ci Yan Jiu. 1992 ; 17(3): 147-50.

[Influence of different types of syndrome on the rising of excellent response rate in hernia repair with acupuncture anesthesia]

Li L, Jian L, Chen Y, Chen X, Chen P.

Shanghai Institute of Acupuncture and Meridian.

In order to raise the rate of excellent response in repair of hernia with acupuncture anesthesia, we valued individual difference in the light of basic theory of traditional Chinese medicine. 70 cases were typed by symptoms and signs before hernia operation with acupuncture anesthesia in which 48 cases were yang-deficiency type and 22 cases yin-deficiency type, besides, 30 cases of peridural anesthesia were as the controls. 1. Acupuncture Group: 1. Low-frequency electro-needling (1/sec) was applied to Zusanli (ST36) and Sanyinjiao (SP 6), while high-frequency electro-needling (10/sec) applied to the incisional edge. 2. The electrowaves and intension of stimulation were changed by regular time to maintain the best needling sensation. 3. Small doses of adjuvants were used together with acupuncture, which shows synergism clearly (fentanyl, 2 micrograms/kg, fentanyl/droperidol, 1/50, the dose depending on the condition of patients in operation). 2. The Controls: Routine peridural anesthesia and adjuvants were used. The same observation was given as the acupuncture group. Results: I. the response rate of yang-deficiency type was 97.9%, the excellent response rate 75%, while the response rate of yin-deficiency type was 90.8% and its excellent response rate 45.4%. The response rate of the groups was no significant difference (P > 0.05), but the excellent response rate of the two differed significantly, the excellent response rate of yang-deficiency type was better than that of yin-deficiency type (P < 0.05). II. The total dose of adjuvants in the acupuncture group was small.(ABSTRACT TRUNCATED AT 250 WORDS)

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