Anesthesiologist can also cure the disease. He created the first domestic "anesthesia innovation diagnosis and treatment center"

Chinese anesthesiologists walk out of the operating room. Will it be a starting point here?

Written article | Tian Dongliang

Source | "Medical Community" public account

As a anesthesiologist, An Jianxiong never stayed in the operating room. He has been the director of anesthesia pain and severe medical center for many years, and has been working hard to expand the career boundary of anesthesiologists in his career.

"Using the principles and technologies of anesthesia, we have found more ideal solutions and published in international journals in neuralgia, femoral head necrosis, chronic pelvic pain, refractory insomnia, etc. Yes, in the process of studying insomnia in the past two years, we also unexpectedly discovered a more accurate diagnosis method of snoring and non -Ning Leg syndrome. The anesthesiologist has made a difference in the field of diagnosis, which is special in the development of disciplines. Inspiration and meaning, "An Jianxiong said.

Since July this year, An Jianxiong has moved the working center from Beijing to Shandong. At the Affiliated Hospital of Weifang Medical College, the first "Anesthesia Innovation Diagnosis and Treatment Center" led by him. my country's anesthesiologist will walk out of the operating room. Is a starting point?

Professor An Jianxiong

Anesthesiologist also cure

Prior to this, An Jianxiong has been a graduate instructor for Weifang Medical College for more than 10 years and has been hired as a special -appointed professor.

Regarding the road of anesthesia treatment doctors, An Jianxiong introduced that the original intention of anesthesia was to relieve the pain of patient surgery, but a large number of deaths and complications occurred in the process of making painlessness. Rate and complications, and thus derived the severe medical department. In addition, the pain department is also derived from the anesthesiology department. Both disciplines later became important independent disciplines. The anesthesiologist still mainly provides patients with surgical anesthesia safety guarantee in the operating room.

Can anesthesia doctors cure a disease? An Jianxiong also clearly remembered that Professor Liu Jin in our country asked him in the 1990s, and he also regarded this as a medical proposition that Professor Liu Jin gave him.

During his work at the General Hospital of China Medical University, An Jianxiong founded anesthesia pain and intensive medical centers to explore refractory diseases such as anesthesia technology to treat pain and insomnia. An Jianxiong believes that the clinical anesthesia work mainly includes three elements: "analgesic, sedation, and muscle pine". Anesthesia innovation diagnosis and treatment should also be carried out around three elements.

In the field of pain treatment, after years of exploration of An Jianxiong's team, the "two bombs and one regulation" therapy was finally formed, that is, under the guidance of image guidance, the target of the damage tissue was accurately repaired with biological activity oxygen, plus high voltage pulse, repeated menstrual magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetic magnetics New era pain therapy for neuropsychological regulation such as stimulation, craniotomy stimulation, and cross -skinned electrical stimulation is standard. Pain, femoral head necrosis, chronic pelvic pain and other refractory pain and long -term efficacy of disabled diseases have improved significantly, and side effects and complications are significantly reduced; muscle relaxation was mostly used for creating ventilator in the past. An Jianxiong will calm down muscle relaxation It is used for stubborn hiccups and successful treatment; in the field of sleep medicine, An Jianxiong has been preparing since the 1990s until the publication of "patients' self -controlling sleep" and "multi -mode sleep" in the past two years. Use the principle of anesthesiology and technology to treat the basis of insomnia.

An Jianxiong said: "Medical disciplines are developing in differentiation and integration. If you want to work innovation, you cannot follow the steps and follow the rules. The gold standard for inspection of the progress of the discipline should first improve the level of disease diagnosis and treatment. In the end, it has better relieve the patient's illness. I have passed the practice of nearly 15 years. This integration is not only conducive to patients and doctors, but also has a positive role in promoting the development of discipline rooms and is worth further exploration. "

Anesthesiologists can also treat depression

The rapid antidepressant center is another medical center recently established by the Affiliated Hospital of Weifang Medical College. The hospital found that it was found by the scripture. This is the first global special agency for rapid anti -depression.

In the introduction of the hospital, the rapid antidepressant center was jointly established by the anesthesiology college, the School of Psychology, and Affiliated Hospital of the Weifang Medical Institute. Patients with severe depression intervene in time to reduce the mortality of such diseases.

The center of antidepressants in the center is mainly implemented by Professor Anjianxiong. An Jianxiong said that when the International Parking and Nervous Stimulation Association was established more than 10 years ago, he happened to be in charge of the work of the Beijing Institute of Translational Medicine of the Chinese Academy of Sciences. Can as expected. With the strong support of President Jun Jun, the head of the Weifang Medical Institute and the main leaders of the Affiliated Hospital, he finally realized his wish.

According to the data of "2022 National Depression Blue Book", there are more than 95 million patients with depression in my country, and patients with severe depression will have the intention and behavior of suicide. Depression has always been treated with psychiatry. It mainly relies on oral antidepressant drugs. These drugs often need to be taken for a long time and have significant side effects, which will cause some patients to have a low compliance with treatment.

The rapid antidepressant therapy applied by Professor Anjianxiong's team is to improve electrical shocks and anopenamine keto vein injection. Among them, the improvement of electric shock and psychiatrists is carried out. Anesthesiologist implements. "Therefore, our anesthesiologist has the opportunity to participate in or even dominate rapid antidepressant treatment." According to An Jianxiong, in 2012, he led the establishment of the China Branch of the International Electric shock and nerve stimulation association, and then under the Professional Committee of the Chinese Medical Association's neural regulation professional committee , Established a group of electric shock and nerve stimulation. "After several years of hard work, my team completed the clinical research of improved electric shock and then upgraded, and published official magazines in the International Parking and Nervous Stimulation Association in 2016. This article caused Academician Lu Lin of Peking University Sixth Academy The attention of domestic psychologists such as Professor Li Lingjiang and other domestic psychologists has opened up exchanges and cooperation with psychiatrists, including national tourism and other national tourism such as "Patching and Nervous Stimulation of China" and "Sleep Medicine China". Most audiences are Psychiatrist."

In 1962, synthetic anesthesia ketamine came out, which has a sedative and analgesic effect. It does not reduce the blood pressure of patients with surgery nor suppressing breathing. It is commonly used as a basic anesthetic for a period of time. However, due to the fantasy effect of ketamine, some people make it as a drug to suck, that is, the infamous "K powder", which leads to the decline of the chloropine for clinical anesthesia drugs and gradually abandoned.

It was not until the rapid antidepressant of ketamine was discovered that this medicine returned to the public vision again. In order to reduce the side effects of ketamone and improve the treatment effect, scientists synthesized ketamine. In 2019, ketamine was approved by FDA for antidepressant treatment.

An Jianxiong said that after more than 2 years of exploration, his team has formulated a set of new type of fast antidepressant therapy led by Chinese characteristics, anesthesia and pain doctors. Two hours, far lower than that of traditional oral antidepressants for about three weeks), safety and reliability, and other advantages, side effects have also been significantly reduced.

However, professional psychiatrists are also concerned about the treatment of depression in the treatment of depression. Tang Jinsong of the Department of Mental Health, Shaw of Shawiyi Hospital of Zhejiang University Medical College, told the "medical community" that short -term use of ketamine has the function of fast antidepressant, but it also has the possibility of addiction. It may also cause sterile cystitis.

Tang Jinsong also said that the injection of asceide ketamine can indeed take effect at about 30 minutes as soon as possible. They have also tried it, but the conventional use has not been approved.

In Anjianxiong's view, ketamine injection therapy is not injected every few weeks or months, and the dose is much lower than the anesthesia dose, so there is no need to worry about side effects and addiction. An Jianxiong particularly emphasized that their rapid antidepressant center mainly faces patients with severe suicide tendency and intact patients with traditional drug treatment.

Can Professor An Jianxiong open a new path for depression treatment at the Affiliated Hospital of Weifang Medical College? This needs to come up with more cases and data with the team and summarize the results.

Source: Medical Community

Responsible editor: Tian Dongliang

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