[Acupuncture in the treatment of pain--hypothesis to adaptive effects].

M Bäcker, I K Gareus, N T M Knoblauch, A Michalsen, G J Dobos
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引用次数: 23

Abstract

A basic principle in conventional pain therapy is that the treatment should be tailored to the pathological mechanism of the disease. This is based on the knowledge of the effector mechanisms of the applied treatment modalities. Although for acupuncture the mode of action still remains elusive in many parts, evidence about its mechanisms in pain treatment is growing. A better understanding of the hypalgesic effects of acupuncture might lead to a more differentiated and mechanism guided application. The aim of this article is to evaluate the scientific data about the neurobiological mechanisms of acupuncture in the treatment of pain. Data are critically evaluated regarding their relevance for clinical practice. Possible mechanisms are differentiated in local and systemic effects and the question of point specificity is discussed. Additionally a comprehensive hypothesis is set up for the long-term effects of acupuncture in the treatment of chronic pain. In this context acupuncture is considered as a mode of repetitive, nociceptive stimulation, which induces adaptive processes on different physiological levels leading to an improved ability of the nociceptive system to cope with painful stimuli.

[针灸治疗疼痛——适应性效应假说]。
传统疼痛治疗的一个基本原则是,治疗应根据疾病的病理机制量身定制。这是基于对应用治疗方式的效应机制的了解。虽然针灸的作用方式在许多方面仍然难以捉摸,但关于其在疼痛治疗中的机制的证据正在增加。更好地了解针灸的镇痛作用可能会导致更有区别和机制指导的应用。本文的目的是评估针刺治疗疼痛的神经生物学机制的科学数据。对临床实践相关数据进行严格评估。可能的机制在局部和全身的影响进行了区分,并讨论了点特异性的问题。此外,对针灸治疗慢性疼痛的长期效果提出了一个全面的假设。在这种情况下,针灸被认为是一种重复的伤害性刺激模式,它在不同的生理水平上诱导适应性过程,从而提高伤害性系统应对疼痛刺激的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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