针灸在帕金森病治疗中的潜在作用:一个叙述性的回顾

IF 2.8 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Jaeyoung Park , Ju-Young Oh , Hi-Joon Park
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引用次数: 0

摘要

背景与其他神经系统疾病相比,帕金森病的患病率增长迅速。针灸已被用于治疗PD的复杂症状。近年来,针灸与神经调控在作用机制上的相似性受到了广泛关注。这篇综述旨在总结有关这些相似性的证据,以表明针灸在PD治疗中的潜在作用。方法使用搜索词“针灸”、“帕金森病”、“迷走神经刺激”和“脑功能连接”搜索PubMed和Google Scholar两个电子数据库中的文献。然后,我们探索了针灸治疗PD有效性的证据,并评估了针灸与神经调控作用机制相似性的证据。结果针灸通过调节炎症和脑功能连接(BFC)对PD症状有效。这些针灸效果已被证明在控制炎症和BFC方面类似于神经调控。基于共同的作用机制,可能改善广泛PD症状的潜在针灸机制包括但不限于(1)抗炎通路的迷走神经激活和(2)BFC增强。结论基于与神经调控共享机制的针灸策略的发展将为帕金森病患者的个性化神经调节治疗提供新的治疗选择。需要进一步的研究来收集优化PD患者参数的科学证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Potential role of acupuncture in the treatment of Parkinson's disease: A narrative review

Potential role of acupuncture in the treatment of Parkinson's disease: A narrative review

Background

The prevalence of Parkinson’s disease (PD) has grown rapidly compared to that of other neurological disorders. Acupuncture has been used to address the complex symptoms of PD. Recently, similarities in the mechanisms of action between acupuncture and neuromodulation have received considerable attention. This review aims to summarize the evidence regarding these similarities to suggest potential role of acupuncture in the treatment of PD.

Methods

The literature from two electronic databases, PubMed and Google Scholar, was searched using the search terms 'Acupuncture', 'Parkinson's disease', 'Vagus nerve stimulation', and 'Brain functional connectivity'. We then explored the evidence for the effectiveness of acupuncture in PD and evaluated the evidence for similarities in the mechanisms of action between acupuncture and neuromodulation.

Results

Data suggests that acupuncture treatment is effective for PD symptoms by modulating inflammation and brain functional connectivity (BFC). These acupuncture effects have been shown to be similar to neuromodulation in controlling inflammation and BFC. Based on the shared mechanisms of action, potential acupuncture mechanisms that may ameliorate a wide range of PD symptoms include but are not limited to (1) vagal activation of the anti-inflammatory pathway and (2) BFC enhancement.

Conclusion

The development of acupuncture strategies based on shared mechanisms with neuromodulation will provide new treatment options for patients with PD as personalized neuromodulating therapies. Further studies are needed to gather scientific evidence for optimizing parameters in PD patients.

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来源期刊
Integrative Medicine Research
Integrative Medicine Research Medicine-Complementary and Alternative Medicine
CiteScore
6.50
自引率
2.90%
发文量
65
审稿时长
12 weeks
期刊介绍: Integrative Medicine Research (IMR) is a quarterly, peer-reviewed journal focused on scientific research for integrative medicine including traditional medicine (emphasis on acupuncture and herbal medicine), complementary and alternative medicine, and systems medicine. The journal includes papers on basic research, clinical research, methodology, theory, computational analysis and modelling, topical reviews, medical history, education and policy based on physiology, pathology, diagnosis and the systems approach in the field of integrative medicine.
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