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引用本文:周嘉1,2，陈彤宇1,2，袁岚3，沈卫东1,4，池浩2，宋建钢1,3，吴瑶瑶2，周文雄2，陈文婷1,3，王兰3，唐炜3，钱中佳2，葛文2，徐建俊2，郭丰3，王永强1,3，王珂1，马文1,3，傅国强1,3.无气管插管针刺复合药物麻醉下心脏瓣膜手术的临床应用规范[J].世界中医药,2017,(10):.

无气管插管针刺复合药物麻醉下心脏瓣膜手术的临床应用规范

Clinical Application Specification of Acupuncture-anesthetics Compound Anesthesia for Heart Valve Replacement Operation with Non-intubation Condition

投稿时间：2017-09-25

DOI：10.3969/j.issn.1673-7202.2017.10.006

中文关键词: 针药复合麻醉心脏瓣膜置换术无气管插管手术临床应用规范

English Keywords:Acupuncture-anesthetics compound anesthesia Heart valve replacement operation Non-intubation surgery Clinical practice specification

基金项目:国家重点基础研究发展计划（973计划）项目（2013CB531901）；上海市中医药事业发展三年行动计划（ZY3-CCCX-2-1003）；上海市市级医院临床技能与临床创新三年行动计划（16CR1031B）

作者	单位
周嘉1,2，陈彤宇1,2，袁岚3，沈卫东1,4，池浩2，宋建钢1,3，吴瑶瑶2，周文雄2，陈文婷1,3，王兰3，唐炜3，钱中佳2，葛文2，徐建俊2，郭丰3，王永强1,3，王珂1，马文1,3，傅国强1,3	1 上海中医药大学附属曙光医院针刺麻醉研究所，上海，201203； 2 上海中医药大学附属曙光医院胸心外科，上海，201203； 3 上海中医药大学附属曙光医院麻醉科，上海，201203； 4 上海中医药大学附属曙光医院针灸科，上海，201203

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中文摘要:

“浅睡眠、无气管插管和保留自主呼吸状态下的针药复合麻醉新模式”是作者团队在既往针刺麻醉下行心内直视手术中发展和建立起来的新模式。与气管插管的传统麻醉方式比较，具有麻醉药用量少、术后并发症发生率低、术后康复快等特点，可作为现代麻醉的有益补充，给传统针刺麻醉手术的实际应用带来新的发展前景。为了更好地将针药复合麻醉新模式下的心内直视手术方法利于在全国进行推广，作者团队结合长期临床实践和经验，依托国家科技部“国家重点基础研究发展计划”《基于临床的针麻镇痛与机体保护机制研究》子项目——针药复合麻醉模式创新与应用，形成“无气管插管针药复合药物麻醉下心脏瓣膜手术的临床应用规范”。

English Summary:

The new model of acupuncture-anesthetics compound anesthesia (AACA) is developed and established on the basis of traditional acupuncture anesthesia underwent open heart surgery by our team，in which the patient remained light sleep and retention of spontaneous breathing with no tracheal intubation during surgery.Compared with general anesthesia (inhaled combined narcotic drugs anesthesia)，AACA can reduce the dosage of narcotic drugs and the incidence of postoperative complications，and has the characteristics of rapid postoperative rehabilitation，which can be useful as a complementary method of modern anesthesia techniques and bring the development prospect to the practical application of traditional acupuncture anesthesia.In order to promote the AACA in the country，our team developed “Clinical practice specification of AACA for heart valve replacement operation with non-intubation condition” according to our long-term clinical practice and experience.The proposal is formulated based on the “innovation and application of acupuncture-anesthetics compound anesthesia”，a sub-project of “Study on Acupuncture-anesthetics Analgesia and Body Protection Mechanism Based on Clinical Practice” of National Basic Research Program of China/973 Project by Ministry of Science and Technology of the People's Republic of China.

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