术前针刺预处理的应用研究进展  

Progress on the researches of acupuncture preconditioning before surgery

作　　者：辜梦月 曾获麟 邓烽丞 张永俊 钟惠[1] GU Meng-yue;ZENG Huo-lin;DENG Feng-cheng;ZHANG Yong-jun;ZHONG Hui(Anesthesia Operation CenterSeventh People's Hospital of Chengdu,Chengdu 610200,Sichuan Province,China;Anesthesia Operation Center,West China Hospital,Sichuan University;Department of Thyroid and Breast Surgery,Seventh People's Hospital of Chengdu,Chengdu 610200,Sichuan Province,China)

机构地区：[1]成都市第七人民医院麻醉手术中心,四川成都610200 [2]四川大学华西医院麻醉手术中心 [3]成都市第七人民医院甲状腺乳腺外科,四川成都610200

出　　处：《中国针灸》2023年第6期727-732,共6页Chinese Acupuncture & Moxibustion

基　　金：成都市卫生健康委员会科研项目:2022646。

摘　　要：对近年的术前针刺预处理相关研究进行梳理,从缓解术前焦虑、预防术后认知功能障碍、预防术后胃肠功能紊乱3个方面探讨针刺在术前准备中的应用价值。针刺作为一种相对安全的非药物治疗手段,在参与加速康复外科(ERAS)多学科合作中具有潜在优势。未来通过建立更高质量的循证医学证据,以及从更多维度揭示针刺的作用机制后,针刺技术有望与ERAS结合,优化围手术期临床路径,最终推动围手术期医学的发展。This paper reviews the researches on acupuncture preconditioning before surgery in recent years and explores its application value from three aspects,ie.relieving preoperative anxiety,preventing from postoperative cognitive dysfunction,and preventing from postoperative gastrointestinal dysfunction.As a relatively safe non-drug treatment,acupuncture has the underlying advantages in participating into multidisciplinary coordination in the enhanced recovery after surgery(ERAS).By building up higher-quality medical evidences and revealing the effect mechanism of acupuncture from multi-dimenisonal aspects,it is expected that acupuncture technology can be coordinated with ERAS to optimize the clinical path in the perioperative period,and boost the development of the perioperative medicine ultimately.

关 键 词：加速康复外科 针刺 术前焦虑 术后认知功能障碍 术后胃肠功能紊乱 

分 类 号：R246.2[医药卫生—针灸推拿学]