摘要
麻醉在临床手术中发挥着至关重要的作用,可缓解术前紧张情绪、维系术中生命安全、减轻术后疼痛。目前,临床的主流麻醉方式是西医药物麻醉。其特点是种类繁多,操作简便,易为患者所接受,然而其不良反应也较为突出,如阿片类药物可引起呼吸抑制、便秘、成瘾等,部分麻醉药物使用不当还会导致心脏骤停、循环衰竭等,危及患者生命。同时一些术前应激反应,如心率加快、血压降低、血糖升高、肌肉紧张以及一些应激作用导致的消化道溃疡,出血等,均是西医药物麻醉难以解决的问题。针刺麻醉的诞生有效降低了各类麻醉药物的不良反应,补充了单纯药物麻醉的不足。如今,随着对针刺研究的不断深入,单纯针刺麻醉及针药复合麻醉临床应用日益广泛,且成效显著,成为中西医结合治疗在现代医学模式中的典范。因此,作者依据目前临床麻醉的研究现状,就针刺麻醉介入临床能有效降低麻醉药物的各种毒副作用不影响麻醉效果和患者生活质量的独特优势出发,对近年来针刺麻醉的历史沿革、理论机制、临床应用、发展前景等方面展开综述。
Anesthesia plays a vital role in clinical surgery,which can relieve preoperative tension,maintain intraoperative life safety,and reduce postoperative pain.At present,the mainstream clinical anesthesia method is Western medicine anesthesia.Its characteristics are a wide variety,simple operation,and easy acceptance by patients.However,its adverse reactions are also prominent.For example,opioids can cause respiratory depression,constipation,addiction,etc.,and improper use of some anesthetics can also lead to cardiac arrest,circulatory failure,etc.,endangering the patient's life.At the same time,some preoperative stress reactions,such as increased heart rate,decreased blood pressure,increased blood sugar,muscle tension,and some stress-induced digestive tract ulcers and bleeding,are all problems that are difficult to solve with Western medicine anesthesia.The birth of acupuncture anesthesia effectively reduces the adverse reactions of various anesthetics and supplements the shortcomings of simple drug anesthesia.Nowadays,with the continuous deepening of acupuncture research,simple acupuncture anesthesia and acupuncture-drug combined anesthesia are increasingly widely used in clinical pr actice,with remarkable results,becoming a model of in-tegrated Chinese and Western medicine treatment in the modern medical model.Therefore,based on the current status of clinical anesthesia research,the author reviews the historical evolution,theoretical mechanism,clinical application,and development prospects of acupuncture anesthesia in recent years,based on the unique advantages of acupuncture anesthesia intervention in clinical practice,which can effectively reduce the various toxic side effects of anesthetic drugs without affecting the anesthesia effect and the quality o f life of patients.
作者
芦栋生
李冰霞
王亚婕
浪万英
LU Dongsheng;LI Bingxia;WANG Yajie;LANG Wanying(Gansu University of Traditional Chinese Medicine,Gansu Lanzhou 730000,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Gansu Lanzhou 730050,China)
出处
《中医药临床杂志》
2024年第11期2228-2232,共5页
Clinical Journal of Traditional Chinese Medicine
基金
甘肃省自然科学基金(22JR5RA621)。
关键词
针刺麻醉
针刺镇痛
电针
中医
临床研究进展
Acupuncture anesthesia
Acupuncture analgesia
Electro-acupuncture
Traditional Chinese medicine
Progress in clinical research