经皮穴位电刺激镇痛机制及应用的研究进展  

Research progress on analgesic mechanism and application of transcutaneous electrical acupoint stimulation

作　　者：李莹飔 方娟[1] 陈采益[2] 蒋进广[3] 王猛[3] LI Yingsi;FANG Juan;CHEN Caiyi;JIANG Jinguang;WANG Meng(Department of Acupuncture and Moxibustion,Suqian Traditional Chinese Medicine Hospital,Jiangsu Province,Suqian223800,China;College of Acupuncture and Moxibustion,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350122,China;Department of Proctology,Suqian Traditional Chinese Medicine Hospital,Jiangsu Province,Suqian223800,China)

机构地区：[1]江苏省宿迁市中医院针灸科,江苏宿迁223800 [2]福建中医药大学针灸学院,福建福州350122 [3]江苏省宿迁市中医院肛肠科,江苏宿迁223800

出　　处：《中国医药导报》2023年第1期61-64,共4页China Medical Herald

基　　金：福建省自然科学基金面上项目(2020J01741);江苏省宿迁市科技计划资助项目(K201919)。

摘　　要：疼痛是一种不愉快的感觉和情绪情感体验,严重危害患者的生理心理健康。针刺镇痛的有效性与科学性已被许多研究证实,经皮穴位电刺激(TEAS)作为针刺镇痛方式的一种,已成为近年来针刺领域的研究热点。TEAS可通过激活疼痛抑制机制,减少痛觉过敏,同时促进内源性阿片肽的释放发挥镇痛作用,能明显改善患者疼痛及相关症状。TEAS被广泛应用于各种急慢性疼痛,如术后急性疼痛、慢性疼痛、癌性疼痛等。本文回顾近年来国内外关于TEAS的镇痛机制及临床应用研究,以期为临床TEAS镇痛提供参考。Pain is a kind of unpleasant feeling and emotional experience,which seriously harms the physical and mental health of patients.The effectiveness and scientific nature of acupuncture analgesia have been proved by many studies.As a means of acupuncture analgesia,transcutaneous electrical acupoint stimulation(TEAS) has become a hot spot in the field of acupuncture in recent years.TEAS can reduce pain sensitivity by activating the pain inhibition mechanism and promote the release of endogenous opioid peptides to exert analgesic effect,which can significantly improve pain and associated symptoms in patients.TEAS are widely used for a variety of acute and chronic pain,such as postoperative acute pain,chronic pain,cancer pain,etc.In this paper,the analgesic mechanism and clinical application of TEAS are reviewed in recent years,in order to provide reference for clinical analgesia of TEAS.

关 键 词：经皮穴位电刺激 针刺 麻醉 镇痛机制 临床应用 综述 

分 类 号：R246[医药卫生—针灸推拿学]