针刺研究

2021, v.46(03) 248-253

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针刺治疗在加速康复外科中的应用进展
Research progress of acupuncture in enhanced recovery after surgery

管俊杰;张亮;孟箭;
GUAN Jun-jie;ZHANG Liang;MENG Jian;Xuzhou Central Hospital;

摘要(Abstract):

加速康复外科(ERAS)以循证医学证据为基础,优化治疗措施,符合人体在围手术期的应激代谢改变,可降低机体应激反应,达到加速康复的目的。围手术期针刺治疗能缓解患者术前焦虑,缩短术前禁食时间,减少麻醉药物用量,保护器官功能,减轻术后疼痛,减少术后恶心呕吐,加快术后康复。针刺的加入能为ERAS理念的建设提供新方法、新思路。但现阶段,针刺在ERAS中的应用存在缺乏整体性考量和标准化不足等问题。
The concept of enhanced recovery after surgery(ERAS) is based on evidence-based medicine. By optimizing the treatment measures, the stress response of the body is reduced to meet the body's metabolic changes during the perioperative period, so as to achieve the purpose of accelerating recovery. In the perioperative period, acupuncture can relieve patients' preoperative anxiety, shorten fasting time, reduce the amount of anesthetics, protect organ function, reduce postoperative pain, reduce postoperative nausea and vomiting, and speed up postoperative recovery. The addition of acupuncture intervention in ERAS would provide new methods and new ideas for the construction of ERAS. But at present, the application of acupuncture in ERAS has problems such as lacking of overall consideration and insufficient standardization, etc.

关键词(KeyWords): 加速康复外科;针刺;经皮穴位电刺激;针刺麻醉
Enhanced recovery after surgery;Acupuncture;Transcutaneous electrical acupoint stimulation;Acupuncture anesthesia

Abstract:

Keywords:

基金项目(Foundation): 江苏省卫生计生委科研资助项目(No.H2017080);; 徐州市医学创新(技术攻关)团队项目(No.XWCX201604);; 徐州市科技局重点研发项目(No.KC17196)

作者(Author): 管俊杰;张亮;孟箭;
GUAN Jun-jie;ZHANG Liang;MENG Jian;Xuzhou Central Hospital;

Email:

DOI: 10.13702/j.1000-0607.200423

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