中医学报2024，Vol.39Issue(1)：102-107,6.DOI:10.16368/j.issn.1674-8999.2024.01.017
针刺相关技术防治术后恶心呕吐的机制研究
Mechanism of Acupuncture Related Technologies in Prevention and Treatment of Postoperative Nausea and Vomiting
摘要
Abstract
Acupuncture related techniques have a definite therapeutic effect on the prevention and treatment of postoperative nausea and vomiting(PONV),which can reduce the incidence of adverse events.This may mainly be achieved by stimulating sympathetic and par-asympathetic nerve activity,regulating 5-HT and β-endorphin,the levels of neurotransmitters such as endorphins regulate gastrointes-tinal motility and nerve conduction.At present,relevant studies mainly focus on acupoints Neiguan and Zusanli,and the specificity of acupoints may be related to their distribution,tissue composition,and nerve innervation.Whether the laterality of acupoints affects the therapeutic effect remains to be explored.Different frequencies of electrical stimulation can produce the release of different chemical neurotransmitters,and there is a lack of systematic comparative research on which frequency can achieve the best prevention and control effect.At present,most of the relevant research is clinical trials,lacking unified and standardized standards.It is urgent to standardize the principles of acupoint selection and intervention timing,and further explore their mechanisms of action on this basis.In addition,it is necessary to further strengthen multicenter research on the prevention and treatment of PONV with electroacupuncture,explore its mech-anism of action,and provide more theoretical basis for the application of acupuncture related techniques in the perioperative period.关键词
术后恶心呕吐/针刺相关技术/穴位治疗/作用机制Key words
postoperative nausea and vomiting/acupuncture related techniques/acupoint therapy/mechanism of action分类
医药卫生引用本文复制引用
王鹏,韦珏春,黄梅艳,贾树山..针刺相关技术防治术后恶心呕吐的机制研究[J].中医学报,2024,39(1):102-107,6.基金项目
山东省医学会科研专项资金项目(YXH2022ZX084) （YXH2022ZX084）
