电针麻醉下行心房颤动冷冻球囊消融及左心耳封堵一站式手术1例  

A Case of One-stop Procedure for Cryoballoon Ablation and Left Atrial Appendage Occlusion of Atrial Fibrillation Under Electroacupuncture Anesthesia

作　　者：匡荣仁 王帅[2] 蒋玉莲 王贤良[2] 殷建明[1] 毛静远[2] KUANG Rongren;WANG Shuai;JIANG Yulian;WANG Xianliang;YIN Jianming;MAO Jingyuan(Shenzhen Traditional Chinese Medicine Hospital,Shenzhen,518033;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion;Tianjin University of Traditional Chinese Medicine)

机构地区：[1]深圳市中医院,广东省深圳市518033 [2]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心 [3]天津中医药大学

出　　处：《中医杂志》2025年第7期760-764,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202203)。

摘　　要：心房颤动是临床最为常见的慢性心律失常类型,导管消融及左心耳封堵是治疗心房颤动的有效方法,手术过程需要麻醉药物支持才能完成,但麻醉药物常导致恶心呕吐、不自主运动、呼吸抑制等相关副作用。报道完全针刺麻醉下顺利完成心房颤动冷冻球囊消融及左心耳封堵一站式手术1例,患者术前30 min采用针灸针直刺双侧内关、列缺、郄门、孔最,得气后连接电针仪器,整个手术全程使用电针麻醉止痛。术中患者耐受度好、配合度高,针刺麻醉完全替代了静脉麻醉药物,保证了手术顺利完成,且术后随访效果理想。Atrial fibrillation is the most common type of chronic cardiac arrhythmia.Catheter ablation and left atrial appendage occlusion are effective treatment methods for atrial fibrillation,but these procedures require anesthesia support.However,anesthetic drugs often cause side effects such as nausea,vomiting,involuntary movements,and respiratory depression.This paper presents a case of a successful one-stop procedure for cryoballoon ablation and left atrial appendage occlusion of atrial fibrillation performed entirely under acupuncture anesthesia.Thirty minutes before the procedure,acupuncture needles were inserted perpendicularly at bilateral Neiguan(PC 6),Lieque(LU 7),Ximen(PC 4)and(LU 6).After obtaining the deqi(得气)sensation,an electroacupuncture device was connected,and electroacupuncture anesthesia was used for pain control throughout the procedure.The patient exhibited good tolerance and cooperation,with electroacupuncture anesthesia completely replacing intravenous anesthetics,ensuring the smooth completion of the surgery.Postoperative follow-up showed favorable outcomes.

关 键 词：心房颤动 针刺麻醉 冷冻球囊消融 左心耳封堵 

分 类 号：R246.2[医药卫生—针灸推拿学]