[1]沈军,孙鹏飞,王建业,等.单侧全膝关节置换术后疼痛的巨刺电针操作规范草案[J].中国中医骨伤科杂志,2025,33(01):88-91+96.[doi:10.20085/j.cnki.issn1005-0205.250119]
　SHEN Jun,SUN Pengfei,WANG Jianye,et al.Standardized Manipulations of Contralateral Ceedling Meridian Electroacupuncture for Postoperative Pain after Unilateral Total Knee Arthroplasty[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(01):88-91+96.[doi:10.20085/j.cnki.issn1005-0205.250119]
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单侧全膝关节置换术后疼痛的巨刺电针操作规范草案()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年01期
页码:
88-91+96
栏目:
操作规范
出版日期:
2025-01-15

文章信息/Info

Title:
Standardized Manipulations of Contralateral Ceedling Meridian Electroacupuncture for Postoperative Pain after Unilateral Total Knee Arthroplasty
文章编号:
1005-0205(2025)01-0088-04
作者:
沈军1; 2; 孙鹏飞1; 王建业1; 杨功旭3; 赵宏4; 卢启贵4; 岗卫娟5; 徐世芬6; 陈刚7; 刘慧荣8; 肖涟波1; 2△
1上海中医药大学附属光华医院(上海,200052)
2上海市中医药研究院中西医结合关节炎研究所
3湖北省中医院
4上海中医药大学深圳医院
5中国中医科学院针灸研究所
6上海市中医院
7嘉兴市第二医院
8上海市针灸经络研究所
Author(s):
SHEN Jun1; 2; SUN Pengfei1; WANG Jianye1; YANG Gongxu3; ZHAO Hong4; LU Qigui4; GANG Weijuan5; XU Shifen6; CHEN Gang7; LIU Huirong8; XIAO Lianbo1; 2△
1Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China; 2Institute of Arthritis Research in Integrative Medicine,Shanghai Academy of Traditional Chinese Medicine,Shanghai 200052,China; 3Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430061,China; 4Shenzhen Hospital of Shanghai University of Traditional Chinese Medicine,Shenzhen 528002,Guangdong China; ...
关键词:
全膝关节置换术;  术后疼痛;  巨刺电针;  操作规范草案
Keywords:
total knee arthroplasty;  postoperative pain;  contralateral needling meridian electroacupuncture;  standardized manipulations
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.250119
文献标志码:
A
摘要:
临床实践中发现在手术侧膝关节进行针刺操作,会增加术后感染的风险,同时患者的心理负担也随之增加。为了探索更易于临床实施和推广的有效非药物疗法,应用现代电针技术结合巨刺法形成了有中国特色的全膝关节置换围手术期加速康复模式。结合临床实际情况,项目组进一步开展了巨刺电针(健侧针刺)在围手术期的应用研究,得出最佳的巨刺电针治疗术后疼痛针刺参数。由于患者的基础疾病不同、病程长短不一以及全膝关节置换围手术期多采用多模式镇痛等诸多因素的影响,巨刺电针针刺参数的选择具有重要意义,且目前尚无被广泛认可的临床规范。为此,项目组联合国内相关领域的骨伤、针灸、基础和方法学等知名专家,遵循“证据为主、共识为辅、经验为鉴”的原则,共同制定了单侧全膝关节置换术后疼痛的巨刺电针操作规范草案,包括操作流程、参数设定、疗效评估、异常情况处理等,旨在用中医特色的巨刺电针促进人工全膝关节置换围手术期快速康复。
Abstract:
In clinical practice,it is found that needle manipulation in the knee joint of the operated side increased the risk of postoperative infection,and at the same time,the psychological burden of the patients also increase.In order to explore effective non-pharmacological therapies that can be more easily implemented and promoted in clinical practice,the application of modern electroacupuncture technology combined with the giant stabbing method had resulted in an accelerated perioperative rehabilitation model for total knee replacement with Chinese characteristics.Combined with the actual clinical situation,the project team further carried out research on the application of electroacupuncture(healthy side acupuncture)in the perioperative period to derive the optimal postoperative pain stimulation parameters for electroacupuncture treatment with macroacupuncture.The selection of stimulation parameters was important due to the different underlying diseases of the patients,the different duration of the disease,and the use of multimodal analgesia in the perioperative period of total knee replacement,and there was no widely accepted clinical standard.For this reason,the project team followed the principle of “evidence-based,consensus-based,and experience-based” with renowned experts in orthopaedic injuries,acupuncture and moxibustion,basic and methodology within the United Nations in the related fields,and jointly formulated the operation specifications of jumbo spiking electroacupuncture for unilateral postoperative pain after unilateral total knee arthroplasty,which included the operation process,parameter setting,efficacy assessment,and treatment of abnormalities.The specification aims to promote rapid recovery in the perioperative period of artificial total knee replacement with giant prick electroacupuncture with Chinese medicine characteristics.

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备注/Memo

备注/Memo:
基金项目:2021年上海市卫生健康委员会卫生行业临床研究专项(202140163)
2022 年度上海市“科技创新行动计划”自然科学基金项目(22ZR1453000,22ZR1453100)
上海市2021年度“科技创新行动计划”医学创新研究专项面上项目(21Y11921500)
上海市2022年度“科技创新行动计划”医学创新研究专项面上项目(22Y11923200)
上海市中医药国际标准化项目(2023JS03)
2023年上海市长宁区卫生健康委员会重点专科建设项目(20231003)
△通信作者 E-mail:xiao_lianbo@163.com
更新日期/Last Update: 2025-01-15