摘要
Abstract
In the present paper,the author retrospects the historical developmental stages of acupuncture anesthesia-analgesia from 1 )preliminary exploration:the creative application of acupuncture therapy to surgery with lower dosage or without anesthetics began in Shanghai and Xi’an in 1 958;2)clinical popularization:the acupuncture anesthesia-analgesia became popu-larized from 1 965,peaked in 1 970s’and declined from 1 980s’;3)mechanism study:from 1 970 to 2000,a large quantity of re-search papers were published to confirm the validity of acupuncture analgesia (AA),and in 1 997,NIH Consensus Conference for acupuncture was held,promoting the related research in the world;4 )focused research:from 2007 to now,the acupuncture anesthesia-analgesia was listed as one of the key research program in China;5)theoretical summary:in view of the uncertainty of the scientific basis of the meridian system of traditional Chinese medicine,the nerve fibers distributed under the acupoint are now considered to be the indispensable components for AA,and the knowledge of modern neuroscience is competent to explain the un-derlying mechanism of AA;6)returning to reality:AA has been accepted by the international scientific community,and the “acu-puncture-assisted anesthesia”,or “compound acupuncture and anesthetics anesthesia”has been used as the first choice for some types of surgical operation.The research on acupuncture anesthesia-analgesia greatly facilitates clinical application of acupuncture therapy in the world,and also promotes the development of acupuncture therapy itself and neuroscience.However,the transfor-mation between theory and practice and their mutual interaction are endless endeavor.Thus,a careful review of the half-century-long practice of acupuncture anesthesia-analgesia is painstakingly necessary in order to clarifying the mechanisms,to raise the ef-ficacy of clinical practice and to correct the possible errors referred to this concept.关键词
针麻镇痛/历史发展阶段/临床应用/机制研究/展望Key words
Acupuncture anesthesia-analgesia/Historical development stages/Clinical application/Mechanical re-search/Expectation
