by Galoic-Krleza R.
[Acupuncture and neuroleptanalgesia].
Lijecnicki Vjesnik, 1991 Sep-Oct, 113(9-10):327-32.
Pub type: Clinical Trial; Journal Article; Randomized Controlled Trial.
AT: UCLA Biomed W1 ME334
SRLF R91 M455
(PE title: Medical journal.)
Abstract: In search of an anesthetic technique which would inhibit response to
surgery stress, we tried to obtain a new method by a combination of a
commonly used neuroleptanalgesia (NLA) and a traditional Chinese
acupuncture, in which by increasing the level of endogenic opioid peptides
we would decrease the need for exogenic opiates and thus influence the body
response to surgery. The effect of this combined use of NLA and acupuncture
was evaluated on the hyperglykemia, cortisol and aldosterone response
during pre, intra and postoperative period, fentanyl and dehydrobenzperidol
(DHBP) requirements, and its postoperative analgetic and antiemetic
efficacy. The patient population comprised 40 metabolically healthy
patients randomly divided into experimental and control group.
analysis with t-test we have demonstrated that acupuncture, as and adjuvant
to NLA, significantly suppresses the hyperglykemia and cortisol response to
surgery stress, while it does not influence the aldosterone mechanism and,
it significantly reduces fentanyl and DHBP requirements. With chi 2-test we
have shown a significant decrease in postoperative vomiting and pain, and
as a result of this, a reduction of analgesic requirements. In summary, a
combination of neuroleptanalgesia and acupuncture can be recommended as a
technique which significantly supresses the response to surgery stress
(intraoperative hyperglykemia and hypercortisolism) and can be easily
applied in the majority of surgical procedures.