針刺麻醉acupuncture anesthesia課件

AcupunctureAnesthesia

針刺麻醉GroupMembers：Haveyoueverheardofacupunctureanesthesia?Acupunctureanesthesia(AA)isamethodbywhichapatientcanhaveanoperationinaconsciousstate（清醒狀態(tài)）byneedlingacupoints（穴位）toachievetheeffectofanalgesia（無(wú)痛覺(jué)）.Acupunctureanesthesia,JournalofAcupunctureandTuinaScience,Dec.2003,Vol.1,No.6：41.HistoryAcupuncture-drugbalancedanesthesiaBeinvogueforaTime（盛極一時(shí)）StarttobecomepopularThefirstcaseInrecentyearsIn1970sIn1960sAugust30th,1958In1958In1958,thedoctorsofChineseandWesternmedicineintheFirstPeople'sHospitalofShanghaiworkedtogetherandlearnedfromeachother.OnAugust30thUGen-cheng(吳根誠(chéng)),AcupunctureAnesthesiainChina:RetrospectandProspect,ChinJIntegrMed2007Sep;13(3):163-165.Theyappliedacupunctureanesthesiatotonsillectomy（扁桃體切除術(shù)）andthesurgeryhadasatisfactoryresult.In1960sIntheearly1960s,thesubjectofpenumonectomy（肺切除術(shù)）byacupunctureanesthesiastarted.Afterthat,satisfactoryresultswerealsoobtainedinmanyotherlarge-scaleanddif?cultoperationsinthe1960sand1970s.*WUHuan-gan(吳煥淦)，ect.ExperienceandThinkingonStudyofPneumonectomybyAcupunctureAnesthesia.J.Acupunct.Tuina.Sci.(2008)6:70-74.*WUGen-cheng(吳根誠(chéng)),AcupunctureAnesthesiainChina:RetrospectandProspect,ChinJIntegrMed2007Sep;13(3):163-165.In1970sIn1971,areporttitled“Now,AboutMyOperationinPeking”publishedinNewYorktimes.Itled“acupunctureheat”inAmerican.In1976,ChinaPostissuedfourstampsdescribing“newachievementsinmedicalandhealthscience”.acupunctureanesthesia(AA)hasalreadydevelopedtoacupuncture-assistedanesthesia(AAA)（針刺麻醉發(fā)展為針刺輔助麻醉）Clinicaluses1preoperativeinduction2intraoperativeanesthesia3postoperativeanalgesiaClinicalusesProspectsonacupunctureanalgesia：itsclinicalappifacafionandresearch.CHENHuai—long，WANGMing—shan，WANGShi—duan.IntJAnesthResus.2006,347-3501234PreoperativepreparationIntraoperativeauxiliaryacupunctureanesthesiaTreatmentofpostoperativepainPreventionandtreatmentofpostoperativenauseaandvomitingspecificclinicalusesTheusingrangeofacupunctureanesthesiasimplyusagecompoundanesthesiatooth,tonsilexcision,bonesurgery,etc.thyroidsurgery,cardiacsurgery,abortion,esophagealcancer,gallbladderexcision,calculisurgery…Clinicaluses/view/136344.htm?fr=aladdin#3ClinicalusesDiscussingAcupunctureAnesthesiafromMuscleRegionTheoryWUHuan-gan，ZHANGRen,KONGShtto-tang,Li-gong,SttlZheng．ShanghaiJAcu-lnox,2006,40-43TheEffectofAcupunctureAnesthesiaAnalgesiaMusclerelaxationAnti-visceratractionactionTangyiLiu,HuayuanYang,LiziChu.Thepresentsituationandanalysisofacupunctureanesthesia

[J].Chineseacupunctureandmoxibustion,2008,27(12):914-916.020406080-20020406080100120*Painthresholdchange(%)Timeinminutesneedlemanipulation(n=66)controlgroup(n=22)Acupuncture-inducedanalgesiaHumanObservation:AcupunctureatHekupoint測(cè)痛是否能預(yù)測(cè)針麻效果？

術(shù)前測(cè)定針刺鎮(zhèn)痛效果外科手術(shù)時(shí)針麻效果ThemechanismofofAcupunctureAnesthesiaAncientChineseNaturalPhilosophySomeschoolsofthoughtNeurochemicalfactorsModulationofNociceptionInflammatoryReflexLinJG,ChenWL.Acupunctureanalgesia:areviewofitsmechanismsofactions[J].TheAmericanjournalofChinesemedicine,2008,36(04):635-645.SomeschoolsofthoughtNeurochemicalfactorsModulationofNociceptionInflammatoryReflexLinJG,ChenWL.Acupunctureanalgesia:areviewofitsmechanismsofactions[J].TheAmericanjournalofChinesemedicine,2008,36(04):635-645.EvidenceshowinganeurochemicalbasisforAATFL,%changeTime,minAA+CSFperfusion200100150aCSFDonerrabbitLatventricleIIIventricleperfusate02040600204060InfusionofCSFAcupunctureControl500RecipientrabbitRabbitexperiment:crossinfusionofCSFResearchGroupofAcupunctureAnesthesiaofPekingMedicalCollege.Theroleofsomeneurotransmittersofbraininacupunctureanalgesia.SciSin1974;17:112-30.TheroleofCNS5-HTinEAanalgesiaICVinjITHinjBrainandspinalcord5-HTmediateEAanalgesia5-HTP5-HTPCinanCinan受體拮抗劑前體物質(zhì)對(duì)照ICVinjITHinjTailflicklatency,%changeHanJS.Acupuncture:neuropeptidereleaseproducedbyelectricalstimulationofdifferentfrequencies[J].Trendsinneurosciences,2003,26(1):17-22.Advantages1Combinewithdifferenttypesofanesthesia

2Goodanalgesiceffect

ThefMRIofbrainfunctionalareasactivationafterpainstimulation.ThefMRIofbrainfunctionalareasactivationafterneedlestimulationheguacupoint.TongJJ,LiuJ,etal.TheResearchonAcupunctureAnesthesiaBasedonfMRI.Engineering,2013,5,545-548Advantages

3

Reducethedosesofanalgesicoranestheticdrugs

Advantages4Acceleratethepostoperativerecovery5Lowcostdosesofdrugs↓fee↓↓stayinhospital↓

WUGC.AcupunctureAnesthesiainChina:RetrospectandProspect[J].ChinJIntegrMed2007Sep;13(3):163-165Disadvantages1Cannotbeusedalone2Limitationintheselectionoftheacupoint3Relytoomuchonthephysician4Nounifiedstandards

LiuTY,YangHY,etalThePresent