Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index

Lu Li; Ge Sheng-jin; Xue Zhang-gang

doi:10.1007/BF02857421

Your Location：

Home >

Browse articles >

Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index

Updated：2021-08-27

- Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index
- Chinese Journal of Integrative Medicine Vol. 12, Issue 1, Pages: 1-5(2006)
- Affiliations：
  
  Department of Anesthesia, Zhongshan Hospital Affiliated toFudan University,Shanghai
- Author bio：
- Funds：
- DOI：10.1007/BF02857421
  CLC：
- Published：2006，
Scan for full text
Li, L., Sheng-jin, G. & Zhang-gang, X. Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index., Chin. J. Integr. Med. 12, 1–5 (2006). https://doi.org/10.1007/BF02857421

Lu Li, Ge Sheng-jin, Xue Zhang-gang. Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index. [J]. Chinese Journal of Integrative Medicine 12(1):1-5(2006)
Li, L., Sheng-jin, G. & Zhang-gang, X. Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index., Chin. J. Integr. Med. 12, 1–5 (2006). https://doi.org/10.1007/BF02857421 DOI：

Lu Li, Ge Sheng-jin, Xue Zhang-gang. Clinical study on effect of electro-acupuncture combined with different anesthetics on auditory-evoked potential index. [J]. Chinese Journal of Integrative Medicine 12(1):1-5(2006) DOI： 10.1007/BF02857421.

摘要

Objective: To observe the effect of electro-acupuncture (EA) on auto regressive with exogenous input model (ARX-model) auditory evoked index (AAI) in patients anesthetized with different anesthetics.Methods: Forty-eight adult patients undergoing scheduled surgical operation were enrolled and divided into two groups (24 in each group) according to the anesthetics applied

Group A was anesthetized with propofol sedation and Group B with Isoflurane-epidural anesthesia. Group A was subdivided into three groups of low

middle and high concentration of target effect-site of 1.0 μg/ml

1.5 ug/ml and 2.0 μg/ml through target controlled infusion (TCI) and Group B into 3 subgroups of minimum alveolar effective concentration of isoflurane (0.4 MAC

0.6 MAC and 0.8 MAC for B1

B2 and B3 subgroups) respectively

with 8 patients in every subgroup. EA on acupoints of Hegu (LI4) and Neiguan (P6) was applied on all the patients during anesthesia

and the change of AAI at various time points was recorded.Results: In the three subgroups of Group A

levels of AAI were significantly elevated in the first few minutes after EA

and significantly lowered 20 min after EA in subgroup A2. While in the subgroups of Group B

except the elevating in Group B1 1 – 2 min after EA

levels of AAI remained unchanged at other time points.Conclusion: Pain response could be reflected by AAI during EA. EA could enhance the sedative effect of propofol in middle concentration

but its effect on isoflurane epidural anesthesia is insignificant.

Abstract

Group A was anesthetized with propofol sedation and Group B with Isoflurane-epidural anesthesia. Group A was subdivided into three groups of low

middle and high concentration of target effect-site of 1.0 μg/ml

1.5 ug/ml and 2.0 μg/ml through target controlled infusion (TCI) and Group B into 3 subgroups of minimum alveolar effective concentration of isoflurane (0.4 MAC

0.6 MAC and 0.8 MAC for B1

B2 and B3 subgroups) respectively

with 8 patients in every subgroup. EA on acupoints of Hegu (LI4) and Neiguan (P6) was applied on all the patients during anesthesia

and the change of AAI at various time points was recorded.Results: In the three subgroups of Group A

levels of AAI were significantly elevated in the first few minutes after EA

and significantly lowered 20 min after EA in subgroup A2. While in the subgroups of Group B

except the elevating in Group B1 1 – 2 min after EA

levels of AAI remained unchanged at other time points.Conclusion: Pain response could be reflected by AAI during EA. EA could enhance the sedative effect of propofol in middle concentration

but its effect on isoflurane epidural anesthesia is insignificant.

关键词

auditory-evoked potential indexelectro-acupuncturepropofolisoflurane

Keywords

auditory-evoked potential indexelectro-acupuncturepropofolisoflurane

references

Thornton C, Sharpe RM. Evoked responses in anaesthesia. Br J Anaesth 1998; 81: 771–781.

Mantzaridis H, Kenny GN. Auditory evoked potential index: a quantitative measure of changes in auditory evoked potentials during general anaesthesia. Anaesthesia 1997; 52: 1030–1036.

Urhonen E, Jensen EW, Lund J. Changes in rapidly extracted auditory evoked potentials during tracheal intubation. Acta Anaesthesiol Scand 2000; 44: 743–748.

Davies PW, Mantzaridis H, Kenny GN, et al. Middle latency auditory evoked potentials during repeated transitions from consciousness to unconsciousness. Anaesthesia 1996; 51: 107–113.

Gaj Raj RJ, Doi M, Mautzaridis H, et al. Comparison of Bispectral EEG analysis and auditory evoked response for monitoring depth of anaesthesia during propofol anaesthesia. Br J Anaesth 1999; 82: 672–678.

Gaj Raj RJ, Doi M, Mantzaridis H, et al. Analysis of the EEG bispectrum, auditory evoked potentials and the EEG power spectrum during repeated transitions from consciousness to unconsciousness. Br J Anaesth 1998; 80: 46–52.

Ge SJ, Zhuang XL, Wang YT, et al. Changes in the rapidly extracted auditory evoked potentials index and the bispectral index during sedation induced by propofol or midazolam under epidural block. Br J Anaesth 2002;89: 260–264.

Han JZ. Exploration into mechanism of acupuncture anesthesia based on molecular physiology. Jiangsu J Tradit Chin Med 2002; 23(3): 27–28.

Katoh T, Suzuki A, Ikeda K. Electroencephalographic derivatives as a tool for predicting the depth of the sedation and anesthesia induced by sevoflurane. Anesthesiology 1998; 88: 642–650.

Zhu LY. Chinese electro-acupuncture. Xran: Shaanxi Science and Technology Press, 1983: 70.

FULL TEXT LINK

More>

Views

341

Downloads

CSCD

Alert me when the article has been cited

Submit

Tools

Publicity Resources

Evaluating the effectiveness of electro-acupuncture as a treatment for childhood autism using single photon emission computed tomography

Effects of electroacupuncture on muscle state and electrophysiological changes in rabbits with lumbar nerve root compression

Electroacupuncture at Zusanli (ST36) accelerates intracerebral hemorrhage-induced angiogenesis in rats

Effects of electro-acupuncture on personality traits in depression: A randomized controlled study

Effect of electro-acupuncture at different acupoints on neuropeptide and somatostatin in rat brain with irritable bowel syndrome

Related Author

No data

Related Institution

Department of Nuclear Medicine, Peking University Shenzhen Hospital

Spine Research Institute Affiliated to Shanghai University of Traditional Chinese Medicine

Molecule Bone Biology Lab, ANZAC Research Institute, University of Sydney

Department of Acupuncture, Tuina and Traumatology, The Sixth People’s Hospital Affiliated to Shanghai Jiaotong University

Institute of Neurology, Xiangya Hospital, Central South University

Address：1 Caochang, xiyuan, Beijing, People's Republic of China Postal code：100091
Tel：010-62886827, 62877592 Fax：010-62874291
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备05067934号-1 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰