Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Interventional Cancer Institute of Chinese Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Int J Surg. 2024 Sep 1;110(9):5713-5721. doi: 10.1097/JS9.0000000000001641.
Abdominal surgery is a critical surgery, with more and more attention being paid to postoperative life quality and associated complications in recent years. Among these complications, postoperative gastrointestinal dysfunction is the most common complication of abdominal surgery. Acupuncture therapy is a treatment approach based on the Traditional Chinese Medicine theory, and its feasibility in aiding gastrointestinal recovery after abdominal surgery is supported by both Traditional Chinese Medicine theory and animal experiments. A lot of clinical research has been conducted to evaluate its efficacy, albeit with limitations, and at preliminary stages. Moreover, intervention timing, acupoint selection, and patient benefits should also be considered in clinical practices. This article summarizes the progress of clinical research on acupuncture therapy in gastrointestinal recovery after abdominal surgery and discusses related issues and operations, with the aim to provide new insights and prospects for the incorporation of acupuncture into the Enhanced Recovery After Surgery protocol.
腹部手术是一种关键的手术，近年来越来越关注术后生活质量和相关并发症。在这些并发症中，术后胃肠功能障碍是腹部手术最常见的并发症。针灸疗法是一种基于中医理论的治疗方法，其在腹部手术后促进胃肠恢复的可行性得到了中医理论和动物实验的支持。大量的临床研究已经评估了其疗效，但存在一定的局限性，且处于初步阶段。此外，在临床实践中还应考虑干预时机、穴位选择和患者获益等问题。本文总结了腹部手术后针灸治疗胃肠恢复的临床研究进展，并讨论了相关问题和操作，旨在为针灸纳入加速康复外科方案提供新的思路和前景。
