title: [Operative stress during electroacupuncture and enflurane anaesthesia assessed by serum cortisol (author's transl)].
abstract: Before, during and after gynaecological operations performed either in electroacupuncture or enflurane anaesthesia plasma-cortisol levels were determined and compared to each other. During stimulation and operation plasma-cortisol increased continuously, indicating elevated sympathetic tone, whereas with enflurane anaesthesia plasma-cortisol levels were markedly lower. Postoperatively after electroacupuncture cortisol levels decreased, and rose again with the onset of pain. After enflurane anaesthesia cortisol levels increased continuously for a period of more than 90 min. Because of the strong correlation between degree of stress and plasma-cortisol level, our results demonstrate surgery under electroacupuncture analgesia to cause a stress greater than that during enflurane anaesthesia. The changes in cortisol levels were observed during stabilized cardiovascular conditions. Conditions varying plasma-cortisol levels too, are discussed.
mesh_terms: D015670:Acupuncture Therapy; D000328:Adult; D000769:Anesthesia, Inhalation; D004737:Enflurane; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D008738:Methyl Ethers; D008875:Middle Aged; D013312:Stress, Physiological / Q000209:etiology*; D013514:Surgical Procedures, Operative / Q000009:adverse effects*
chemical_list: D008738:Methyl Ethers; D004737:Enflurane; D006854:Hydrocortisone
vernacular_title: Operationsstress während kombinierter Elektroakupunkturanalgesie und Enfluranenarkose, gemessen am Serum-Cortisol.