STUDY ON THE STANDARDIZED APPLICATION OF ACUPUNCTURE ANESTHESIA TO CRANIOCEREBRAL OPERATIONS ON TEMPORO-PARIETO-OCCIPITAL REGION AND POSTERIOR CRANIAL FOSSA

摘要

The effect of acupuncture anesthesia(AA) performed with unified protocol andmethod was evaluated by the National Unified Scaling Criteria. Among the 536 cases studied,there are 488 cases Grade I, the rate of Grade I (success rate) being 91.05%. Of the 357 casesof temporo-parieto-occipital operations, the success rate is 91.88%, with the success rates of bodyneedling and ear needling groups being 88.16% and 98.45% respectively. Of the 179 cases of po-sterior cranial fossa operations, the success rate is 89.38%, with the success rates of body needlingand ear needling groups being 85.58% and 95.59% respectively. Randomized controlled trials wereconducted among the simple 0.1% lidocaine group, AA plus 0.1% lidocaine group and AA plusnormal saline group, the results of which prove that acupuncture analgesia plays predominant rolein AA and adjuvants can remarkably enhance the AA effect. The neuroanatomical basis of thesuperiority of ear needling to body needling is discussed here, so is the mechanism of the poten-tiating effect of the adjuvants on AA. Besides the advantages of AA in neurosurgery and problemsremaining unsolved have been summarized.