Zhou Jia, Zhou Wen-Xiong, Wang Ke, Li Jing, Xu Hua, Wu Xin-di, Sun Lin-Xi
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Zhen Ci Yan Jiu. 2024 Dec 25;49(12):1310-1318. doi: 10.13702/j.1000-0607.20230928.
Acupuncture anesthesia is an innovative anesthesia technique which combines acupuncture therapy of traditional Chinese medicine with western anesthesia and surgery. Modern acupuncture anesthesia technology involves comprehensive preoperative evaluation and application, intraoperative assistance in anesthesia, and enhanced recovery after surgery, forming a set of perioperative management models with Chinese characteristics. In the present paper, we comprehensively summarized the application scenarios (including craniocerebral operations, neck surgery, cardiac and thoracic surgery, abdominal operation, obstetrical and gynecological operations, anorectal operation, and orthopedic operation) and values (such as analgesia, reduction in nausea and vomiting, accelerating recovery of gastrointestinal function, regulating immune function, etc.) of modern acupuncture anesthesia technology in the perioperative period, and also analyzed its advantages [(1) fewer physiological interference to the patient, reducing operation-induced organ damage, and accelerating postoperative recovery; (2) no obvious adverse reactions and high safety; (3) significant social and economic benefits], current challenges and opportunities of modern acupuncture anesthesia techniques. We think that it is urgent to formulate a set of consensus guidelines and reference for modern acupuncture anesthesia for each type of relevant operations based on evidence-based medicine, actively draw on, absorb and introduce the latest evidence-based concepts and research methodologies and technologies, strive to create new theories, new methods and new technologies, carry out standardized sustainable research, enrich and improve its own system and to expand its application scope through exchanges and mutual learning with cutting-edge technologies of modern medicine.
针刺麻醉是一种将中医针刺疗法与西医麻醉和外科手术相结合的创新麻醉技术。现代针刺麻醉技术涵盖术前综合评估与应用、术中麻醉辅助以及术后加速康复,形成了一套具有中国特色的围手术期管理模式。在本文中,我们全面总结了现代针刺麻醉技术在围手术期的应用场景(包括颅脑手术、颈部手术、心胸外科手术、腹部手术、妇产科手术、肛肠手术和骨科手术)和价值(如镇痛、减少恶心呕吐、加速胃肠功能恢复、调节免疫功能等),并分析了其优势[(1)对患者生理干扰较少,减少手术引起的器官损伤,加速术后恢复;(2)无明显不良反应,安全性高;(3)具有显著的社会和经济效益]、当前面临的挑战以及现代针刺麻醉技术的机遇。我们认为,迫切需要基于循证医学为各类相关手术制定一套现代针刺麻醉的共识指南和参考标准,积极借鉴、吸收和引入最新的循证医学理念以及研究方法和技术,努力创建新理论、新方法和新技术,开展标准化的可持续研究,丰富和完善自身体系,并通过与现代医学前沿技术的交流与互学来扩大其应用范围。