切换至 "中华医学电子期刊资源库"

中华针灸电子杂志 ›› 2026, Vol. 15 ›› Issue (01) : 30 -36. doi: 10.3877/cma.j.issn.2095-3240.2026.01.005

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围手术期针刺用于加速康复外科的优势、问题及对策
孙粼希, 于心同, 王珂, 魏绪强, 冯晨晨, 周嘉()   
  1. 200437 上海市针灸临床医学研究中心,上海中医药大学附属岳阳中西医结合医院针麻临床研究室
  • 收稿日期:2025-10-14 出版日期:2026-02-15
  • 通信作者: 周嘉
  • 基金资助:
    国家中医药管理局中医药高水平重点学科建设项目(zyyzdxk-2023068); 多模态融合的“针药复合麻醉”智能决策系统的开发和应用(2025ZHYL013); 上海市科学技术委员会(25Y12800700); 上海市针灸临床医学研究中心(20MC1920500); 上海市进一步加快中医药传承创新发展三年行动计划(2025—2027年)(1-1-2)

Perioperative acupuncture in enhanced recovery after surgery: advantages, challenges and countermeasures

Linxi Sun, Xintong Yu, Ke Wang, Xuqiang Wei, Chenchen Feng, Jia Zhou()   

  1. Acupuncture Anesthesia Clinical Research Institute, Shanghai Acupuncture Clinical Research Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2025-10-14 Published:2026-02-15
  • Corresponding author: Jia Zhou
引用本文:

孙粼希, 于心同, 王珂, 魏绪强, 冯晨晨, 周嘉. 围手术期针刺用于加速康复外科的优势、问题及对策[J/OL]. 中华针灸电子杂志, 2026, 15(01): 30-36.

Linxi Sun, Xintong Yu, Ke Wang, Xuqiang Wei, Chenchen Feng, Jia Zhou. Perioperative acupuncture in enhanced recovery after surgery: advantages, challenges and countermeasures[J/OL]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2026, 15(01): 30-36.

以围手术期针刺在加速康复外科(ERAS)中的应用实践为背景,探讨了当前ERAS路径存在的局限性与临床实施瓶颈,系统综述了针刺在缓解术前焦虑、减轻术后疼痛、促进胃肠功能恢复、防治围手术期神经认知障碍、改善衰弱与疲乏等方面的临床优势。同时,分析了针刺在ERAS相关临床研究中面临的主要挑战,包括操作规范缺失、研究方法学质量参差不齐以及跨学科协作不足等问题。在此基础上,进一步提出若干应对策略与建议,强调通过加强多学科团队合作、提升临床研究设计水平,并探索结合人工智能等技术手段,以推动针刺在围手术期管理中的规范应用与发展。旨在为中西医结合的围手术期治疗模式梳理实证依据,促进医疗资源合理配置,最终实现以患者为中心的手术结局优化。

Based on the application practice of perioperative acupuncture in enhanced recovery after surgery (ERAS), this paper study explores the current limitations and clinical implementation bottlenecks of the ERAS pathways, and systematically reviews the unique clinical advantages of acupuncture in perioperative management—including alleviating preoperative anxiety, mitigating postoperative pain, accelerating gastrointestinal function recovery, preventing and treating perioperative neurocognitive disorders, and improving frailty and fatigue. Meanwhile, it analyzes the major challenges confronted by acupuncture in ERAS-related clinical research, such as the lack of unified operational standards for acupuncture, uneven quality of research methodologies, and insufficient interdisciplinary collaboration. On this basis, several targeted countermeasures and suggestions are put forward, emphasizing the need to strengthen multi-disciplinary team cooperation, upgrade the quality of clinical research design, and explore the integration of advanced technologies such as artificial intelligence in efficacy evaluation and protocol optimization. This work aims to collate empirical evidence for the perioperative treatment model integrating traditional Chinese and Western medicine, promote the rational allocation of medical resources, and ultimately achieve the optimization of patient-centered surgical outcomes.

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