针刺治疗肌萎缩侧索硬化症研究进展OACSTPCD
Research Progress of Acupuncture in Treating Amyotrophic Lateral Sclerosis
近年来,针刺治疗肌萎缩侧索硬化症(amyotrophic lateral sclerosis,ALS)的相关研究逐渐增多,针刺疗法能够通过抑制谷氨酸兴奋性毒性、减轻氧化应激障碍、抑制神经炎症反应、抑制细胞凋亡等有效延缓ALS的病程,减少不良反应的发生,提高患者生活质量.针刺疗法多样,以针药结合、电针疗法的临床应用最为普遍,可有效改善患者运动功能障碍.但目前针刺治疗ALS的临床应用及实验研究仍存在不足,如临床研究样本量少,观察指标单一,试验设计缺少严谨性,中医辨证分型及诊断缺乏规范性和统一性,具体操作缺少系统规范的行针标准,作用机制尚未明确,故今后需进一步规范中医辨证,提高临床试验的样本量,同时将实验研究与临床应用相结合,以提高针刺治疗ALS的临床疗效.
The related studies of acupuncture in treatment of amyotrophic lateral sclerosis(ALS)have gradually increased in recent years,which can effectively delay the course of ALS and reduce the occurrence of adverse reactions by inhibiting glutamate excitotoxici-ty,reducing oxidative stress disorder as well as inhibiting neuroinflammatory response and cell apoptosis to improve the life quality of patients.There are various acupuncture therapies,among which the combination of acupuncture and medication as well as electro-acu-puncture are the most common clinical applications,which can effectively improve the dyskinesia of patients.However,there are still some shortcomings in the clinical application and experimental research of acupuncture for ALS,such as small sample size in clinical re-search,single observation index,lack of rigor in experimental design,lack of standardization and unity in TCM syndrome differentiation and diagnosis,lack of systematic standards for specific operation,as well as the unclear mechanism.In the future,it is proposed to fur-ther standardize the TCM syndrome differentiation,enlarge the sample size of clinical trials,combine experiment research with clinical application as well,to improve the clinical efficacy of acupuncture in the treatment of ALS.
李莹莹;孙远征;王仕林;赵广然
黑龙江中医药大学,黑龙江 哈尔滨 150040黑龙江中医药大学附属第二医院,黑龙江 哈尔滨 150001
中医学
肌萎缩侧索硬化症针刺艾灸电针蜂针
amyotrophic lateral sclerosisacupuncturemoxibustionelectro-acupuncture therapybee venom therapy
《中医学报》 2024 (008)
1701-1706 / 6
孙申田青年人才基金项目(2021-KY14)
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