[Clinical observation on operation of cerebral speech area under combined acupuncture-drug anesthesia].
OBJECTIVE
To study the effect of combined acupuncture-drug anesthesia (CADA) in neurosurgical operation of cerebral speech area.


METHODS
Twenty-five patients with tumor close to the speech area underwent neurosurgical operation under CADA or general anesthesia were observed, and the post-operational language function protecting effect was analyzed.


RESULTS
Among the 15 patients accepted CADA, total tumor resection was achieved in 9 cases, and subtotal or partial resection achieved in 6 due to their tumor too close to the speech area. No post-operational complication such as dysphasia or aggravation of functional disorder was found in the patients. In the 10 cases underwent general anesthesia, 7 had tumor total resection, 3 had partial resection, and 3 cases suffered from post-operational dysphasia.


CONCLUSIONS
CADA is helpful in speech area judgement in neurosurgical operation so as to avoid the operational injury on functional area. It is an important method of anesthesia in surgical operation on cerebral speech area.
Gao
X
X
Department of Neurosurgery, Huashan Hospital, Shanghai Medical University, Shanghai 200040.
Jiang
C
C
Yan
H
H
D015667:Acupuncture Analgesia / Q000379:methods; D000759:Adjuvants, Anesthesia; D000328:Adult; D000768:Anesthesia, General; D001932:Brain Neoplasms / Q000503:physiopathology / Q000601:surgery*; D004329:Droperidol; D015671:Electroacupuncture; D005260:Female; D005283:Fentanyl; D005625:Frontal Lobe; D006801:Humans; D008297:Male; D013060:Speech
D000759:Adjuvants, Anesthesia; D004329:Droperidol; D005283:Fentanyl