摘要
甲状腺手术麻醉的目的不仅是达到良好的镇痛效果,同时还要求患者能够保持清醒状态,在可能损伤重要结构的步骤配合外科医生进行判断,避免造成周围神经损伤。因此,单一的麻醉方法很难达到理想的效果。针刺麻醉复合其他方法如安定镇痛麻醉、颈丛阻滞或全身麻醉应用于甲状腺手术,既可达到满意的麻醉效果,又可降低相关并发症,具有良好的发展前景。基于此,笔者对针药复合麻醉应用于甲状腺手术的疗效及取穴规律进行综述,旨在为提高针药复合麻醉临床疗效相关的科研工作提供有益的指导,同时推动针药复合麻醉在甲状腺手术中的应用。
The purpose of anesthesia in thyroid surgery is not only to achieve satisfied analgesic effect,but also to help patients remain awake and assist surgeons in performing surgery on important parts of body,thus avoiding peripheral nerve injury. However,a single anesthesia method is difficult to achieve the desired effects. Acupuncture anesthesia combined with other methods such as sedative and analgesic anesthesia,cervical plexus block or general anesthesia in thyroid surgery could achieve satisfactory anesthesia effects and reduce the associated complications,which has great application prospects. Based on this,the efficacy and acupoints selection of acupuncture combined with drug anesthesia in thyroid surgery was reviewed,aiming to provide useful guidance for improving the clinical efficacy of combined acupuncture-drug anesthesia and promote the popularization and application of it in thyroid surgery.
出处
《世界中医药》
CAS
2017年第10期2269-2269,2270-2273,共5页
World Chinese Medicine
基金
国家重点基础研究发展计划(973计划)项目(2013CB531900)--针药复合麻醉模式创新与应用研究
关键词
针药复合麻醉
甲状腺手术
临床疗效
Acupuncture combined with drug anesthesia
Thyroid surgery
Clinical efficacy
