摘要
术前焦虑、麻醉操作、手术创伤和术后疼痛等因素可引发应激反应。剧烈的应激反应不仅可延缓术后主要器官功能的恢复,而且严重影响患者术后快速康复。有效降低围手术期的应激反应对维持机体内环境稳定、促进切口愈合以及加快术后康复均十分有利。作为中国传统医学技术,电针通过对腧穴的刺激,沟通经络,降低手术患者围手术期血清皮质醇以及促肾上腺皮质激素等激素的释放,减轻机体应激反应。在围手术期的不同阶段,电针可通过调节机体神经内分泌系统和免疫功能减轻术后机体炎症反应和免疫抑制,改善机体重要脏器功能,提高患者整体功能,加快术后康复。
Stress response can be induced by preoperative anxiety,anesthesia,surgical trauma and postoperative pain.Severe stress reaction not only delays the recovery of major organ function,but also seriously affects the rapid recovery of patients.Effective lowering of the perioperative stress response is very beneficial to maintaining the stability of the internal environment,promoting wound healing and speeding up postoperative rehabilitation.As a traditional Chinese medical technology,electroacupuncture can reduce the perioperative release of serum cortisol and adrenocorticotrophic hormone by stimulating acupoints and communicating meridians,thus reducing the body′s stress response.In different stages of perioperative period,electroacupuncture can reduce postoperative inflammatory reaction and immunosuppression by regulating neuroendocrine system and immune function,improve the function of important organs,improve the overall body function of the patients,and accelerate the postoperative rehabilitation.
作者
田伟千
崔耀梅
詹伟芳
TIAN Weiqian;CUI Yaomei;ZHAN Weifang(Department of Anesthesiology,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)
出处
《医学综述》
CAS
2021年第15期3005-3009,共5页
Medical Recapitulate
基金
国家自然科学基金(81673741)。
关键词
围手术期
应激反应
电针
Perioperative period
Stress response
Electroacupuncture