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1.上海中医药大学附属岳阳中西医结合医院,上海200437
2.上海市中医药研究院中西医结合 临床研究所,上海200083
Received:12 June 2022,
Revised:31 August 2022,
Published:25 December 2023
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吴妃叶,周嘉,王珂等.针刺调节手术应激反应的研究进展[J].针刺研究,2023,48(12):1282-1288.
WU Fei-ye,ZHOU Jia,WANG Ke,et al.Research progress of acupuncture in the regulation of surgery stress response[J].Acupuncture Research,2023,48(12):1282-1288.
吴妃叶,周嘉,王珂等.针刺调节手术应激反应的研究进展[J].针刺研究,2023,48(12):1282-1288. DOI: 10.13702/j.1000-0607.20220669.
WU Fei-ye,ZHOU Jia,WANG Ke,et al.Research progress of acupuncture in the regulation of surgery stress response[J].Acupuncture Research,2023,48(12):1282-1288. DOI: 10.13702/j.1000-0607.20220669.
各种外科手术均存在不同程度的手术应激。手术应激可导致缺血-再灌注损伤(IRI)、交感神经系统(SNS)过度激活、创伤后免疫抑制(PTI)、高凝状态、炎性反应等多方面的损伤。针刺调节手术应激反应疗效肯定,具有自身独特的优势。近年来,针刺在改善术后脏器IRI、SNS过度激活和PTI、高凝状态、炎性反应方面取得了进展。本文就现阶段针刺调节手术应激的相关证据进行梳理,概述其机制研究进展,探讨针刺参与调节手术应激反应的应用价值。
In clinical practice, operative stress varies from surgeries, which may lead to many injuries such as ischemia-reperfusion injury (IRI), hyperactivation of sympathetic nervous system (SNS), post-traumatic immunosuppression (PTI), hypercoagulation and inflammation. Acupuncture is effective and advantageous in regulating the stress response to surgery. The great progress has been made in recent years of acupuncture research in postoperative visceral IRI, SNS hyperactivation, PTI, hypercoagulation and inflammation. By collecting the relevant evidences of acupuncture in this field, the application value of acupuncture involved in modulating surgical stress response and the progress of mechanism research are explored and summarized.
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