针灸联合ERAS路径的镇痛增效及阿片类药物减量机制研究新进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v8i2.18902
Abstract
围术期麻醉优化是加速康复外科（Enhanced Recovery After Surgery, ERAS）路径的核心环节，其核心目标在于通过多模式干预实现镇痛增效、减少麻醉药物依赖、降低不良反应风险。针灸作为中医外治法的经典技术，凭借其安全微创、多靶点调节的优势，与ERAS理念深度契合，形成“针灸-药物平衡麻醉”的创新模式。本文系统从术前焦虑调控、术中麻醉协同、术后镇痛康复三个维度，深入阐释其镇痛增效机制与阿片类药物减量的核心路径，重点分析针灸与麻醉药物的协同作用及不同手术场景的应用特点，同时指出当前研究存在的标准化不足、机制研究不深入等问题，为中西医结合围术期麻醉的规范化应用与创新发展提供循证参考。
Keywords
针灸；围术期麻醉；加速康复外科；镇痛增效；阿片类药物减量
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[1] Zhang Y, Li J, Wang H, et al. Clinical practice of acupuncture techniques in the perioperative setting within the context of enhanced recovery after surgery programs: a narrative review[J]. Journal of Integrative Medicine, 2025, 23(3): 289-301.
[2] 王天龙,董海龙,黄宇光,等. 加速康复外科围术期麻醉管理专家共识(2024版)[J]. 中华麻醉学杂志, 2024, 44(5): 521-528.
[3] Viscusi ER, et al. Perioperative pain management in enhanced recovery after surgery (ERAS): Current evidence and future directions[J]. Anesthesiology Clinics, 2024, 42(1): 113-128.
[4] Liu Y, Zhang M, Wang J, et al. Clinical practice of acupuncture techniques in the perioperative setting within the context of enhanced recovery after surgery programs: a narrative review[J]. Ann Transl Med, 2023, 11(10):647.
[5] Qiu M, Li C, Sun T, Ruan Q. Effect of perioperative acupuncture-assisted general anesthesia on the anesthetic dosage required in adult surgical patients: a network meta-analysis of randomized controlled trials. Front Med (Lausanne). 2023 May 10;10:1133585.
[6] 薛建军,徐紫清,侯怀晶,等. 中美联合指南工作组. 中西医结合防治术后胃肠功能紊乱临床实践指南(2023)[J]. 中国循证医学杂志, 2024, 24(6): 641-652.
[7] Liu Y, Zhang M, Wang J. Clinical practice and mechanism research progress of perioperative acupuncture under enhanced recovery after surgery pathway. Int J Trad Chin Med. 2025,47(9):1101-1106.
[8] 李雪,刘敏,陈晨.围术期焦虑与HPA轴功能紊乱的机制及干预研究进展[J]. 临床麻醉学杂志, 2025, 41(3): 332-336.
[9] 王浩, 刘芳, 赵亮. 针刺调节术前焦虑的fMRI脑功能连接研究[J]. 中华行为医学与脑科学杂志, 2025, 34(7): 632-638.
[2] 王天龙,董海龙,黄宇光,等. 加速康复外科围术期麻醉管理专家共识(2024版)[J]. 中华麻醉学杂志, 2024, 44(5): 521-528.
[3] Viscusi ER, et al. Perioperative pain management in enhanced recovery after surgery (ERAS): Current evidence and future directions[J]. Anesthesiology Clinics, 2024, 42(1): 113-128.
[4] Liu Y, Zhang M, Wang J, et al. Clinical practice of acupuncture techniques in the perioperative setting within the context of enhanced recovery after surgery programs: a narrative review[J]. Ann Transl Med, 2023, 11(10):647.
[5] Qiu M, Li C, Sun T, Ruan Q. Effect of perioperative acupuncture-assisted general anesthesia on the anesthetic dosage required in adult surgical patients: a network meta-analysis of randomized controlled trials. Front Med (Lausanne). 2023 May 10;10:1133585.
[6] 薛建军,徐紫清,侯怀晶,等. 中美联合指南工作组. 中西医结合防治术后胃肠功能紊乱临床实践指南(2023)[J]. 中国循证医学杂志, 2024, 24(6): 641-652.
[7] Liu Y, Zhang M, Wang J. Clinical practice and mechanism research progress of perioperative acupuncture under enhanced recovery after surgery pathway. Int J Trad Chin Med. 2025,47(9):1101-1106.
[8] 李雪,刘敏,陈晨.围术期焦虑与HPA轴功能紊乱的机制及干预研究进展[J]. 临床麻醉学杂志, 2025, 41(3): 332-336.
[9] 王浩, 刘芳, 赵亮. 针刺调节术前焦虑的fMRI脑功能连接研究[J]. 中华行为医学与脑科学杂志, 2025, 34(7): 632-638.
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