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针刺麻醉在毛主席革命卫生路线指引下,广泛应用于临床,但在临床实践中仍存在“三关” (镇痛不全,内脏牵拉反应和腹肌紧张)问题。针刺镇痛是通过神经体液因素的调节,乙酰胆碱是胆碱能神经冲动的递质,在外周血液中,乙酰胆碱又是一种致痛物质,胆碱酯酶又与乙酰胆碱有密切关系。我们对针麻胃大部切除术病人针麻前后全血胆碱酯酶的活力进行了测定,初步探讨针麻效果与全血胆碱酯酶活力间的关系。
Acupuncture anesthesia in the revolutionary direction of Chairman Mao’s health guidelines, widely used in clinical, but in clinical practice there are still “three off” (pain relief, visceral traction reaction and abdominal tension) problem. Acupuncture analgesia is through the regulation of neurohumoral factors, acetylcholine is a transmitter of cholinergic nerve impulses in the peripheral blood, acetylcholine is a pain-inducing substance, and cholinesterase and acetylcholine are closely related. We measured the activity of whole blood cholinesterase before and after acupuncture anesthesia in patients with subtotal anesthesia, and discussed the relationship between acupuncture anesthesia and the activity of whole blood cholinesterase.