中医适宜技术围术期多模式管理应用进展

Advances in the Multimodal Perioperative Management of Appropriate Chinese Medicine Techniques

摘要: 中医适宜技术以其安全有效、成本低廉的特点，逐渐在围手术期得到广泛应用。其治疗理念与围术期多模式管理理论不谋而合。引入这一理念，为围术期多模式管理理念的建设注入了新方法和新思路。我们系统回顾近年来中医适宜技术(如耳穴、腕踝针、TEAS、雷火灸、穴位贴敷等)在围术期多模式管理中的循证研究进展：通过“理念–技术–流程–机制”的四维嵌入，从“经验补充”层面跃升至“循证共建”高度，为围术期管理提供可复制、可推广的、具有中国特色的加速康复外科(ERAS)围术期管理方案。

Abstract: Appropriate traditional Chinese medicine (TCM) techniques, valued for their safety, efficacy, and low cost, have been widely used in the perioperative setting. Their therapeutic philosophy aligns seamlessly with China’s multimodal perioperative management (MPM) framework. Integrating these techniques injects new methods and perspectives into MPM development. This article systematically reviews recent evidence-based advances in applying core TCM modalities—auricular plastering, wrist-ankle acupuncture, TEAS, thunder-fire moxibustion, acupoint application, etc.—within MPM. Through a four-dimensional embedding of “concept-technique-process-mechanism”, TCM has moved from “empirical add-on” to “evidence-based co-construction”, offering MPM a reproducible, scalable “low-cost Chinese lever” and emerging as a hallmark of China’s enhanced recovery after surgery (ERAS) pathway.