Zhao Cai-Jiao, Yang Li-Mei, Deng Zhi-Ling, Huo Li-Ying, Sheng Cai-Ling, Li Xin-Yi
School of Acupuncture-Moxibustion and Tuina, Guangxi University of Traditional Chinese Medicine, Nanning 530001, China.
Zhen Ci Yan Jiu. 2023 Jul 25;48(7):706-12. doi: 10.13702/j.1000-0607.20220274.
Wound is a common surgical disease characterized by skin defect or functional limitation. Studies have found that acupuncture-moxibustion plays an important role in wound healing. In this paper, we reviewed the mechanisms of acupuncture-moxibustion in promoting wound repair. Outcomes display that acupuncture-moxibustion has an action in promoting wound restoration by improving wound flow perfusion, promoting angiogenesis, increasing the number of fibroblasts and regulating collagen synthesis. In addition, acupuncture can effectively promote wound healing by controlling the release of inflammatory cytokines, up-regulating the expression of growth factors such as vascular endothelial growth factor and transforming growth factor-β1, and affecting phosphatidylinositol-3-kinase/protein kinase B, mitogen-activated protein kinase and advanced glycation end products/receptor for AGEs signaling pathways. Based on the above studies, it is highly recommended that future studies should pay more attention to the multi-mechanism coordinated regulation target center, and the therapeutic means and dose-effect relationship of acupuncture-moxibustion in tissue repair.
伤口是一种常见的外科疾病,其特征为皮肤缺损或功能受限。研究发现,针灸在伤口愈合中发挥着重要作用。在本文中,我们综述了针灸促进伤口修复的机制。结果显示,针灸通过改善伤口血流灌注、促进血管生成、增加成纤维细胞数量以及调节胶原蛋白合成,对促进伤口恢复具有作用。此外,针灸可通过控制炎症细胞因子的释放、上调血管内皮生长因子和转化生长因子-β1等生长因子的表达,以及影响磷脂酰肌醇-3-激酶/蛋白激酶B、丝裂原活化蛋白激酶和晚期糖基化终末产物/晚期糖基化终末产物受体信号通路,有效促进伤口愈合。基于上述研究,强烈建议未来的研究应更加关注多机制协同调控靶点中心,以及针灸在组织修复中的治疗手段和剂量效应关系。