Luo Man, Song Bijia, Zhu Junchao
Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Department of Anesthesiology, Friendship Hospital of Capital Medical University, Beijing, People's Republic of China.
Nat Sci Sleep. 2020 Aug 21;12:583-592. doi: 10.2147/NSS.S261043. eCollection 2020.
General anesthesia produces a state of drug-induced unconsciousness that is controlled by the extent and duration of administered agents. Whether inhalation or intravenous in formulation, such agents may interfere with normal sleep-wake cycles, impairing postoperative sleep quality and creating complications. Electroacupuncture is a new approach widely applied in clinical practice during recent years. This particular technology helps regulate neurotransmitter concentrations in the brain, lowering norepinephrine and dopamine levels to improve sleep quality. It also alleviates surgical pain that degrades postoperative sleep quality after general anesthesia by downregulating immune activity (SP, NK-1, and COX-1) and upregulating serotonin receptor (5-HT1AR, 5-HT2AR) and endocannabinoid expression levels. However, large-scale, multicenter studies are still needed to determine the optimal duration, frequency, and timing of electroacupuncture for such use.
全身麻醉会产生一种药物诱导的无意识状态,这种状态由所使用药物的剂量和持续时间控制。无论其剂型是吸入式还是静脉注射式,这些药物都可能干扰正常的睡眠-觉醒周期,损害术后睡眠质量并引发并发症。电针疗法是近年来在临床实践中广泛应用的一种新方法。这项特殊技术有助于调节大脑中的神经递质浓度,降低去甲肾上腺素和多巴胺水平以改善睡眠质量。它还通过下调免疫活性(P物质、神经激肽-1和环氧化酶-1)以及上调血清素受体(5-羟色胺受体1A、5-羟色胺受体2A)和内源性大麻素表达水平,减轻因全身麻醉后导致术后睡眠质量下降的手术疼痛。然而,仍需要大规模、多中心研究来确定电针疗法用于此目的的最佳持续时间、频率和时机。