title: [Effects of assisted-electroacupuncture on recovery of fast tracking anesthesia in mPCNL].
abstract: OBJECTIVE
  To compare the effects on anesthesia recovery between assisted-electroacupuncture fast tracking anesthesia and simple fast tracking anesthesia in patients with minim ally invasive percutaneous nephrolithotomy (mPCNL).
  
  
  METHODS
  Eighty cases of mPCNL were selected and randomly divided into a treatment group and a control group. Fentanyl (1-2 microg/kg), sevoflurane (8%) and rocuronium (0.5 mg/kg) were applied to perform anesthesia induction in both groups, and endotracheal inhalation of sevoflurane and intravenous pump injection of remifentanil were adopted to main anesthesia status during the operation. 20 min before anesthesia induction, bilateral Neiguan (PC 6), Neimadian, Hegu (LI 4), Yangxi (LI 5), Zhongji (CV 3), Qichong (ST 30), Zuwuli (LR 10) were selected and punctured in the treatment group, and elecctroacupuncture was given after arrival of qi until 30 min after the wake-up from anesthesia and withdrawal of endotracheal tube. The dosage for anesthesia maintenance, recovery time of awareness, extubation time, incidences of nausea, vomiting and chill and irritation of urethral catheters were observed and recorded.
  
  
  RESULTS
  (1) The dosages of remifentanil and sevoflurane in the treatment group during the operation were obviously less than those in the control group [remifentanil: (5. 27 +/-1.23) micro g/kg h vs (7.35+/-1.70) micro g/kg . h; sevoflurane: (1.12+/-0.43) vol% vs (2.35+/-0.87) vol% , both P<0. 001]. (2) The recovery time of awareness and extubation time in the treatment group were significantly earlier than those in the control group [recovery time of awareness: (5.65 +/- 2.34) min vs (8. 87 +/- 6. 84) min, P<0. 01; extubation time : (7. 23+/-4. 35) min vs (10. 62+/-8. 16) min, P<0. 05]. (3) The incidences of nausea, vomiting and chill in the treatment group were significantly less than those in the control group (all P<0. 05). (4) The irritation of urethral catheters on urethra in the treatment group was significantly less than that in the control group (P<0. 001).
  
  
  CONCLUSIONS
  The assisted-electroacupuncture anesthesia could reduce the dosage of remifentanil and sevoflurane in mPCNL fast tracking anesthesia in urinary surgery, reduce the incidences of nausea, vomiting, chill and irritation of urethral catheters during recovery stage, and prompt recovery of mPCNL patients.
authors.forename: Jiang
authors.initials: J
authors.lastname: Yan
authors.forename: Cui-Qin
authors.initials: CQ
authors.lastname: Lin
authors.forename: Cheng-Zhang
authors.initials: CZ
authors.lastname: Zhang
authors.forename: Jin-Yan
authors.initials: JY
authors.lastname: Ou
authors.forename: Fu-Rong
authors.initials: FR
authors.lastname: Luo
authors.forename: Shao-Lin
authors.initials: SL
authors.lastname: Zhang
authors.forename: Shu-Qi
authors.initials: SQ
authors.lastname: Zhong
authors.forename: Yong-Hua
authors.initials: YH
authors.lastname: Chen
authors.forename: Yan-Bin
authors.initials: YB
authors.lastname: Yang
authors.forename: Li-Chan
authors.initials: LC
authors.lastname: Xie
mesh_terms: D000293:Adolescent; D000328:Adult; D000762:Anesthesia Recovery Period; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects*; D015671:Electroacupuncture; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage / Q000009:adverse effects; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D010880:Piperidines / Q000008:administration & dosage / Q000009:adverse effects; D020250:Postoperative Nausea and Vomiting / Q000628:therapy*; D000077208:Remifentanil; D000077149:Sevoflurane; D055815:Young Adult
chemical_list: D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D010880:Piperidines; D000077149:Sevoflurane; D000077208:Remifentanil; D005283:Fentanyl