Abstract: ［Abstract］ Objective〖HTSS〗〓To compare the efficacy and safety of acupuncture combined with basic anesthesia and simple basic anesthesia in peritoneal dialysis catheterization.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Sixtynine patients with firsttime peritoneal dialysis catheterization were selected. By random number table method the patients were divided into acupuncture combined basic anesthesia group(AA group) and simple basic anesthesia group(BA group).  Acupuncture at Neiguan and Sanyinjiao points with electrical stimulated at 20 minutes before start of surgery in AA group. The same position paste the electrode connect the point of electrical stimulation instrument in BA group. Both groups of patients were sedated with intravenous injection of 0.3 μg/kg dexmedetomidine 20 minutes before the start of surgery. In AA group, bilateral Neiguan and Sanyinjiao acupoints were stimulated continuously until the end of operation. If intraoperative Visual Analogue Scale(VAS) score was greater than 5 points, intravenous fentanyl 1 μg/kg could be administered. If the VAS score was greater than 5 after total fentanyl 5 μg/kg, general anesthesia was used to complete the operation.The VAS scores of the two groups were recorded during surgical incision, traction and incision of the peritoneum, establishment of subcutaneous tunnel, suture, 2 h after surgery, 12 h after surgery and 24 h after surgery. The additional amount of analgesic fentanyl, the surgeon′s satisfaction with the anesthetic effect, the general anesthesia during surgery, and the adverse reactions associated with anesthesia were recorded.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The intraoperative VAS score of the two groups decreased gradually from the beginning of surgical incision to the suture, and the postoperative VAS score of the two groups decreased gradually. The interaction differences between the two groups of intraoperative and postoperative VAS score were statistically significant(P＜005). The total dose of fentanyl was significantly lower in the AA group than in the BA group(P＜005). Compared with the BA group, the satisfaction of surgeons in the AA group was higher, and the rate of general anesthesia was lower, the difference was statistically significant(P＜0.05).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Acupuncture combined with basic anesthesia in peritoneal dialysis surgery is more safe and effective than basic anesthesia.

Key words: peritoneal dialysis, catheterization, acupuncture anesthesia, basic anesthesia