现代针刺麻醉及其临床实践  

Modern acupuncture anesthesia and its clinical practice

作　　者：周嘉 周文雄 王珂 李璟[1] 许华 吴歆頔 孙粼希 ZHOU Jia;ZHOU Wen-xiong;WANG Ke;LI Jing;XU Hua;WU Xin-di;SUN Lin-xi(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《针刺研究》2024年第12期1310-1318,共9页Acupuncture Research

基　　金：国家自然科学基金项目(No.82074163);上海市针灸临床医学研究中心项目(No.20MC1920500);国家中医药管理局高水平中医药重点学科(针灸学)建设项目(No.ZYYZDXK-2023068)。

摘　　要：针刺麻醉是将中医传统针刺疗法与西医麻醉及外科手术相结合的一种创新性的麻醉技术。现代针刺麻醉技术涉及术前综合评估与应用、术中协助麻醉,以及术后加速康复,形成了一套具有中国特色的围术期管理模式。本文总结了现代针刺麻醉技术在围术期的应用场景和价值,并对现代针刺麻醉技术的优势、当前机遇和挑战进行了分析。Acupuncture anesthesia is an innovative anesthesia technique which combines acupuncture therapy of traditional Chinese medicine with western anesthesia and surgery.Modern acupuncture anesthesia technology involves comprehensive preoperative evaluation and application,intraoperative assistance in anesthesia,and enhanced recovery after surgery,forming a set of perioperative management models with Chinese characteristics.In the present paper,we comprehensively summarized the application scenarios(including craniocerebral operations,neck surgery,cardiac and thoracic surgery,abdominal operation,obstetrical and gynecological operations,anorectal operation,and orthopedic operation)and values(such as analgesia,reduction in nausea and vomiting,accelerating recovery of gastrointestinal function,regulating immune function,etc.)of modern acupuncture anesthesia technology in the perioperative period,and also analyzed its advantages[(1)fewer physiological interference to the patient,reducing operation-induced organ damage,and accelerating postoperative recovery;(2)no obvious adverse reactions and high safety;(3)significant social and economic benefits],current challenges and opportunities of modern acupuncture anesthesia techniques.We think that it is urgent to formulate a set of consensus guidelines and reference for modern acupuncture anesthesia for each type of relevant operations based on evidence-based medicine,actively draw on,absorb and introduce the latest evidence-based concepts and research methodologies and technologies,strive to create new theories,new methods and new technologies,carry out standardized sustainable research,enrich and improve its own system and to expand its application scope through exchanges and mutual learning with cuttingedge technologies of modern medicine.

关 键 词：现代针刺麻醉 临床实践 多学科交叉 术后加速康复 转化医学 

分 类 号：R246.2[医药卫生—针灸推拿学]