| 引用本文:高寅秋1，时金华1，刘俊岭2，薛继秀3，王均炉4，汤义5，寇立华6，孙新潮7，高永辉2，贾擎1，谢珅1，雷剑7，魏滨5，薛冰6，李逸飞6.甲状腺手术针药复合麻醉应用指南[J].世界中医药,2017,(10):. |
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| 甲状腺手术针药复合麻醉应用指南 |
| Guidelines for the Application of Acupuncture-drug Anesthesia in Thyroid Surgery |
| 投稿时间：2017-09-25 |
| DOI：10.3969/j.issn.1673-7202.2017.10.005 |
| 中文关键词: 甲状腺手术 针刺麻醉 穴位 操作规范 |
| English Keywords:Thyroid surgery Acupuncture anesthesia Acupoints Operation specification |
| 基金项目:国家重点基础研究发展计划（973计划）项目（2013CB531904） |
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| 中文摘要: |
| 针刺麻醉甲状腺手术已经取得了一定的临床成绩，有镇痛效果且可以减少并发症。本文参考近40年文献，根据国内多家医院甲状腺手术经验，经过多中心共800余例历时10年的临床研究，以及相应实验研究结果确定了穴位组合。扶突穴组符合“气至病所”的中医理论，也与同神经节段近端取穴有关，故而镇痛效果明确，有一定优势。而合谷内关穴组遵循“经脉所过，主治所及”原则，镇痛效果好，操作方便。推荐使用扶突穴电针刺激和合谷内关穴经皮电刺激用于针刺辅助麻醉下的甲状腺手术。 |
| English Summary: |
| Acupuncture anesthesia in thyroid surgery has obtained some clinical results，which has analgesic effect and reduces complications.Acupoints combination was determined by referring literatures in recent 40 years and the experience of thyroid surgery in domestic hospitals through more than 800 multicenter clinical researches in past 10 years and corresponding experimental results.Futu (LI 18) acupoint group is in line with TCM theory of “qi arrives the location of disease”，and is also related with proximal point of the same ganglia section.Therefore，the analgesia effect is significant with advantages.Hegu (LI 4) and Neiguan (PC 6) acupoints combination is in line with the principle of “treating disease while meridians pass”，with sound analgesia effect and convenient operation.In thyroid surgery by acupuncture-assisted anesthesia is recommended by using electro-acupuncture in Futu (LI 18) and transcutaneous acupoints electrical stimulation in Hegu (LI 4) and Neiguan (PC 6). |
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