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针刺治疗脑缺血再灌注损伤机制的研究进展

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脑缺血再灌注损伤(CIRI)是急性期脑梗死患者恢复血液灌注后的重要病理环节,涉及多种病理过程,如内质网应激、细胞凋亡、炎症反应、细胞焦亡及铁死亡等.针刺治疗CIRI疗效较好,可通过多种途径发挥脑保护作用.本文综述了针刺发挥脑保护作用在分子及基因层面的相关研究文献,发现针刺发挥脑保护作用具有多水平、多通路、多靶点的特点,可通过干预内质网应激、抑制细胞凋亡、减少细胞炎性反应、调控细胞焦亡、抑制铁死亡、适度激活细胞自噬、促进血管新生、改善学习记忆等方面发挥治疗作用.
Progress of Acupuncture Mechanism in the Treatment of Cerebral Ischemia Reperfusion Injury
Cerebral ischemia reperfusion injury(CIRI)is an important pathological condition in acute cerebral infarction patients after the restoration of blood perfusion,involving a variety of pathological processes,such as endoplasmic reticulum stress,apoptosis,inflammatory response,cell pyrodeath and iron death.Acupuncture treatment of CIRI has good curative effect and can play a protective role in brain through various ways.In this paper,the molecular and genetic studies on the protective effects of acupuncture on the brain were reviewed.It was found that acupuncture plays a multi-level,multi-pathway and multi-target role in brain protection.It can play a therapeutic role by interfering with endoplasmic reticulum stress,inhibiting cell apoptosis,reducing cell inflammatory response,regulating cell pyrosis,inhibiting iron death,moderately activating autophagy,promoting angiogenesis,improving learning and memory,etc.

AcupunctureTreatmentCIRIResearch progress

杨婷、许军峰、秦文秀、王坪霏

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天津中医药大学第一附属医院,天津 300380

国家中医针灸临床医学研究中心,天津 300380

针刺 治疗 脑缺血再灌注损伤 研究进展

天津市教委科研计划项目

2022ZD045

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(8)