Guan Jun-Jie, Zhang Liang, Meng Jian
Xuzhou Central Hospital, Xuzhou 221000, Jiangsu Province, China.
Zhen Ci Yan Jiu. 2021 Mar 25;46(3):248-53. doi: 10.13702/j.1000-0607.200423.
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 newmethods 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.
术后加速康复(ERAS)的理念基于循证医学。通过优化治疗措施,降低机体应激反应,以适应围手术期机体代谢变化,从而达到加速康复的目的。围手术期针刺可缓解患者术前焦虑、缩短禁食时间、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。在ERAS中加入针刺干预可为ERAS的构建提供新方法和新思路。但目前针刺在ERAS中的应用存在缺乏整体考量、规范化不足等问题。