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The Effects of Acupuncture on Hemodynamic Changes During Endotracheal Intubation for General Anesthesia

机译：全身麻醉下针刺对气管插管时血流动力学的影响

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>Objective: The goal of this research was to investigate the efficacy of perioperative manual acupuncture in the LV 3 and LI 4 points for lessening hemodynamic changes during endotracheal intubation in patients who were receiving anesthesia.>Materials and Methods: This double-blinded randomized controlled study enrolled patients who were undergoing endotracheal intubation, in 2015–2016, during general anesthesia in the general surgery department of the Imam Khomeini Hospital complex, in the Tehran University of Medical Sciences, Iran. The patients were randomly allocated into 2 groups with 30 patients in each group. In the treatment group, acupuncture needles were placed at LV 3 and LI 4, whereas, in the control group, the needles were placed 1 cm lateral to these points. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), and heart rate (HR) before and after placing the acupuncture needles, after induction, immediately, 1 minute, and 3 minutes after intubation were measured and recorded prospectively.>Results: The patients had a mean age of 44.45 ± 12.72 years and included 35 (58.3%) males. Before acupuncture, demographic data, mean blood pressure (BP), and mean HR of the patients were not significantly different in the treatment and control groups. The mean SBP, DBP, MAP, and HR of all patients changed over time significantly (P < 0.001 for all). In the treatment group, mean SBP, DBP, and MAP changes immediately after the needles were placed were significantly less than those in the control group (P = 0.033, 0.024, and 0.024, respectively).>Conclusions: Although acupuncture could have a very–short-term effect that reduces BP during endotracheal intubation, hemodynamic changes might not be prevented during endotracheal intubation.
机译：>目的：该研究的目的是研究围手术期手工针刺LV 3和LI 4点对减轻接受麻醉的气管插管过程中血液动力学变化的疗效。>材料和方法方法：该双盲随机对照研究纳入了伊朗德黑兰医科大学伊玛目霍梅尼医院综合大楼普通外科全麻期间于2015-2016年接受气管插管的患者。 。将患者随机分为2组，每组30名患者。在治疗组中，针刺针放置在LV 3和LI 4处，而在对照组中，将针刺放置在这些点的侧面1 cm处。分别在插管后，插管后，插管后1分钟和3分钟分别测量收缩压（SBP），舒张压（DBP），平均动脉压（MAP）和心率（HR）。 >结果：这些患者的平均年龄为44.45±12.72岁，包括35名男性（58.3％）。针刺前，治疗组和对照组患者的人口统计学数据，平均血压（BP）和平均HR均无显着差异。所有患者的平均SBP，DBP，MAP和HR随时间变化显着（所有患者的P <0.001）。在治疗组中，刚放置完针后的平均SBP，DBP和MAP的变化显着低于对照组（分别为P = 0.033、0.024和0.024）。>结论：尽管针灸可以在气管插管过程中产生非常短期的降低BP的作用，但在气管插管过程中可能无法防止血液动力学变化。

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