CLINICAL SUMMARY ON ACUPUNCTURE COMBINED WITH ENFLURANE-INHALATION ANESTHESIA FOR RESECTION OF ESOPHAGEAL CARCINOMA

Objective: To observe the clinical effect of acupuncture combined with general anesthesia by inhaling enflurane for esophageal carcinoma-resection. Methods: 120 cases of esophageal carcinoma patients were randomly divided into acupuncture+ inhalation of enflurane (A + IE, n = 40), electrical stimulation (ES) + IE (n = 41 ) and IE (control, n=39)groups. In all the3 groups, vecuronium, fentanyl, propofol (same dose)were given intravenously to induce anesthesia before operation, and during operation, fentanyl (2 ug/kg/hr) and vecuronium (0.03 mg/kg/0.5hr)and appropriate concentration of enflurane were given to the patients for maintaining anesthesia and muscular relaxation. In group A, Xiayifeng (below TE 17), Sanyangluo (TE 8) to Ximen (PC 4) were punctured and stimulated electrically, and in group B, these acupoints were stimulated electrically via cutaneous plate electrodes. Results: The anesthetic effect grade I rates of A+ IE, ES+ IE and IE groups were 67.50%, 68.29% and 28.21% respectively.There was a significant difference between A + IE or ES + IE and IE groups (P＜0.001). In the process of anesthesia,the mean concentrations of the inhaled enflurane in A + IE, ES+ IE and IE groups were 0.55% and 0.50% and 0.83%separately. The average concentrations of A+ IE and ES+ IE groups were lower 33.73% and 39.76% than that of group IE (P＜0.005). Conclusion: Acupuncture combined with enflurane inhalation can enhance anesthetic effect, reduce the dose of the inhaled enflurane.