文章摘要

穴位刺激神经调节机制与机体炎症调控的研究进展

作者: 1李治玺, 1李文志, 1郑东友
1 哈尔滨医科大学附属第二医院麻醉科,哈尔滨 150086
通讯: 郑东友 Email: zhengdongyou2006@126.com
DOI: 10.3978/j.issn.2095-6959.2022.03.033
基金: 国家自然科学基金(81871025)。

摘要

穴位刺激是现代医学中一个重要的领域,在调控器官功能和重塑生理稳态方面发挥了积极作用。经皮穴位刺激目前已得到世界卫生组织的认可,在抗炎镇痛方面具有独特的优势。近些年来的研究发现,穴位刺激可以激活特定的神经元网络以达到器官功能保护和缓解炎症的效果,这为穴位刺激在神经系统控制炎症及其在感染性和炎症性疾病中的临床意义提供了有力证据。然而,目前尚未明确穴位刺激发挥上述作用的具体机制。研究表明下丘脑-垂体-肾上腺(hypothalamic-pituitary-adrenal,HPA)轴和自主神经系统可能在穴位刺激发挥作用的过程中起重要的调节作用。本文通过讨论穴位刺激在炎症反应中发挥的具体调节作用及HPA轴和自主神经系统在其中发挥作用的具体机制,浅析穴位刺激对神经元网络及机体炎症反应的调控机制。
关键词: 穴位刺激;炎症;下丘脑-垂体-肾上腺轴;自主神经

Research progress of acupoint stimulation in neuromodulation mechanism and body’s inflammation regulation

Authors: 1LI Zhixi, 1LI Wenzhi, 1ZHENG Dongyou
1 Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China

CorrespondingAuthor: ZHENG Dongyou Email: zhengdongyou2006@126.com

DOI: 10.3978/j.issn.2095-6959.2022.03.033

Foundation: This work was supported by the National Natural Science Foundation of China (81871025).

Abstract

Acupoint stimulation is an important field in modern medicine, which plays an active role in regulating organ function and remodeling physiological homeostasis. Percutaneous acupoint stimulation has been recognized by the World Health Organization and has unique advantages in anti-inflammation and analgesia. In recent years, studies have found that acupoint stimulation can activate specific neural networks to achieve organ function protection and relieve inflammation, which provides strong evidence for the clinical significance of acupoint stimulation in controlling inflammation in the nervous system and infectious and inflammatory diseases. However, the specific mechanism of acupoint stimulation is not yet clear, and a large number of studies have shown that the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system may play an important regulatory role in the process by which acupoint stimulation works. This paper discusses the specific regulatory role of acupoint stimulation in the inflammatory response and the specific mechanism of the HPA axis and autonomic nervous system and analyzes the regulatory mechanism of acupoint stimulation on the neuronal network and the body’s inflammatory response.
Keywords: acupoint stimulation; inflammation; hypothalamic-pituitary-adrenal axis; autonomic nerve

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