针刺镇痛术后疗效的研究进展

针刺及其相关技术作为临床手术镇痛的一种辅助治疗手段,在缓解患者术后急性痛中作用明显。大量临床试验和动物实验围绕针刺镇痛的作用机制而开展,为临床开展新的镇痛方案提供了指导依据。本文从针刺镇痛的基本机制出发,以术后镇痛和降低不良反应两个方面为切入点,总结了近年来针刺镇痛术后疗效研究的新进展。各项研究结果显示,针刺镇痛在术后镇痛和降低不良反应两个方面发挥重要作用。但要作为一项常规技术而被广泛应用于临床实践,其内在机制尚需进一步研究阐明。

Progresses of Studies on Acupuncture Analgesia for Postoperative Reaction

A large number of clinical trials and animal experiments have been carried out to focus on neurochemical mec-hanisms of acupuncture analgesia including postoperation pain relief,which may provide guidance for developing a novel clinical approach for postoperative analgesia.In the present paper,the authors review new progresses of researches on acupuncture analgesia for postoperative pain and side effects in the past few years from thyroidectomy,chest surgery,abdominal surgery,five sense organs(ear,nose,eye and throat) surgery,and others.Regarding the mechanism of acupuncture,central neurotransmitters(including the endop endorphin,5-HT,gamma-aminobutyric acid,etc.),immune cytokines,cytokines from the spinal glia cells are complicated in the process of acupuncture analgesia.A lot of findings of researches demonstrated that acupuncture therapy is effective in reducing postoperative pain and adverse reactions as nausea,vomiting,etc.As a common technique widely used in the field of clinical medicine,the underlying mechanisms of acupuncture therapy for relieving post-surgery pain and side-effects should be studied profoundly in the future.