摘要
背景 针灸在我国具有2 500年的历史.大量的临床研究证实针刺能够改善患者急慢性疼痛,减少镇痛药物的使用量.针灸作为一种辅助治疗急性及慢性疼痛的手段已经被广泛接受,然而其作用机制尚不明确. 目的 探讨针刺镇痛的作用机制,总结其应用于临床治疗的领域及效果,以及存在的问题和有待改良的方式. 内容 针刺镇痛的作用机制目前尚不明确,主要有内啡肽学说、神经生理学说、神经激素调节学说、神经门控学说以及抑制有害物质扩散等多种假说.目前,针刺镇痛应用于临床治疗越来越多,治疗方式也是多种多样的.尤其对于慢性疼痛的控制已普遍成为治疗手段之一. 趋向 对于针刺镇痛的机制还需要更深入的研究证实,而对于术后镇痛的临床应用还有待于进一步的研究和发展.
Background Acupuncture in China has a history of 2 500.Large number of clinical studies confirm that acupuncture can improve patients with acute and chronic pain and reduce the use of analgesic drugs.As an auxiliary means of treatment of acute and chronic pain,acupuncture has been widely accepted.However,its mechanism is not clear.Objective Discussion on the mechanism of acupuncture for analgesia.Ssummed up the field and effects used in clinical treatment,as well as the problems and needs to be and improved the problems about acupuncture for analgesia.Content The mechanism of acupuncture for analgesia is not clear.There are endorphin hypothesis,neurophysiologic theory,neurohormonal theory,neurogate theory and diffuse noxious inhibitory control theory.At present,more and more clinical treatments used acupuncture and it ways are varieties.It has been one of the treatments for chronic pain control.Trend We need further studies confirm that the mechanism of acupuncture for analgesia.The postoperative analgesia in clinical application needs further research and development.
出处
《国际麻醉学与复苏杂志》
CAS
2013年第6期552-554,共3页
International Journal of Anesthesiology and Resuscitation
关键词
针刺
镇痛
Acupuncture
Analgesia
