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电针在术后加速康复中的临床应用

Clinical application of electroacupuncture in enhanced recovery after surgery.

作者信息

Mao Yu, Yang Lifang

机构信息

Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi'an, China.

Department of Anesthesiology, Xi'an Children Hospital, Xi'an, China.

出版信息

Front Rehabil Sci. 2023 May 24;4:1135618. doi: 10.3389/fresc.2023.1135618. eCollection 2023.

Abstract

Enhanced recovery after surgery (ERAS) is currently the recommended surgical strategy, the main content of which is to reduce perioperative stress response and postoperative complications through perioperative multimodal analgesia and intensive surgery. Since ERAS was introduced, many rehabilitation medicine teams have been deeply involved, including physical therapy, occupational therapy, nutrition therapy and psychological counseling. However, ERAS lacks several powerful means to address perioperative prognostic issues. Therefore, how to further improve the effects of ERAS, reduce perioperative complications and protect vital organ functions has become an urgent problem. With the continuous development of traditional Chinese medicine, electroacupuncture (EA) has been widely used in various clinical applications, and its efficacy and safety have been fully proved. Recent studies have shown that the application of EA in ERAS has had an important impact on rehabilitation researches. In terms of reducing complications, the therapeutic effects of EA treatment mainly include: reducing pain and the use of analgesics; Improvement of postoperative nausea and vomiting; Postoperative immune function treatment; Relieve anxiety and depression. In addition, EA also protects the recovery of physiological functions, including cardiovascular function, cerebrovascular function and gastrointestinal function, etc. To sum up, the complementary strengths of EA and ERAS will allow them to develop and combine. This review discusses the potential value and feasibility of EA in ERAS from the aspects of improving perioperative efficacy and protecting organ functions.

摘要

加速康复外科(ERAS)是目前推荐的手术策略,其主要内容是通过围手术期多模式镇痛和精细化手术来减轻围手术期应激反应和术后并发症。自ERAS引入以来,许多康复医学团队都深度参与其中,包括物理治疗、职业治疗、营养治疗和心理咨询。然而,ERAS缺乏一些解决围手术期预后问题的有力手段。因此,如何进一步提高ERAS的效果、减少围手术期并发症并保护重要器官功能已成为亟待解决的问题。随着中医药的不断发展,电针(EA)已广泛应用于各种临床领域,其疗效和安全性已得到充分证实。最近的研究表明,EA在ERAS中的应用对康复研究产生了重要影响。在减少并发症方面,EA治疗的疗效主要包括:减轻疼痛和减少镇痛药的使用;改善术后恶心和呕吐;术后免疫功能治疗;缓解焦虑和抑郁。此外,EA还保护生理功能的恢复,包括心血管功能、脑血管功能和胃肠功能等。综上所述,EA与ERAS优势互补,将实现共同发展与结合。本综述从提高围手术期疗效和保护器官功能方面探讨了EA在ERAS中的潜在价值和可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1471/10244595/655822b8c3e7/fresc-04-1135618-g001.jpg

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