甲状腺手术针刺麻醉应用指南

Guidelines for the Application of Acupuncture-drug Anesthesia in Thyroid Surgery

针刺麻醉甲状腺手术已经取得了一定的临床成绩，有镇痛效果且可以减少并发症。本文参考近40年文献，根据国内多家医院甲状腺手术经验，经过多中心共800余例历时10年的，临床研究，以及相应实验研究结果确定了穴位组合。扶突穴组符合“气至病所”的中医理论，也与同神经节段近端取穴有关，故而镇痛效果明确，有一定优势。而合谷内关穴组遵循“经脉所过，主治所及”原则，镇痛效果好，操作方便。推荐使用扶突穴电针刺激和合谷内关穴经皮电刺激用于针刺辅助麻醉下的甲状腺手术。

Acupuncture anesthesia in thyroid surgery has obtained some clinical results, which has analgesic effect and reduces complications. Acupoints combination was determined by referring literatures in recent 40 years and the experience of thyroid sur- gery in domestic hospitals through more than 800 multicenter clinical researches in past 10 years and corresponding experimental results. Futu （LI 18 ） acupoint group is in line with TCM theory of ＂qi arrives the location of disease＂, and is also related with proximal point of the same ganglia section. Therefore, the analgesia effect is significant with advantages. Hegu （ LI 4 ） and Neiguan （PC 6） aeupoints combination is in line with the principle of ＂treating disease while meridians pass＂ ,with sound analgesia effect and convenient operation. In thyroid surgery by acupuncture-assisted anesthesia is recommended by using electro-acupuncture in Futu （LI 18 ） and transeutaneous aeupoints electrical stimulation in Hegu （LI 4） and Neiguan （PC 6 ）.