Sudhakaran Poovadan
Templestowe, Victoria, Australia.
Med Acupunct. 2023 Oct 1;35(5):251-256. doi: 10.1089/acu.2023.0017. Epub 2023 Oct 17.
Traumatic brain injury (TBI) is a significant cause of morbidity and mortality worldwide. It is estimated that half of the people in the world will experience at least 1 episode of TBI during their lifetimes. While the primary injury to the brain parenchyma is usually irreversible, the secondary effects, which involve cellular dysfunction, derangement of blood flow, and blood-brain barrier changes in ionic flux and elevated levels of free radicals are potentially amenable to treatment. At present, there are no neuroprotective agents in mainstream medicine to interrupt these secondary processes and improve the patient's neurologic outcome. Acupuncture holds promise to fill this gap and scientific evidence to that effect is presented. Sports-related brain injury is discussed in detail.
创伤性脑损伤(TBI)是全球发病和死亡的一个重要原因。据估计,世界上一半的人在其一生中至少会经历1次TBI。虽然脑实质的原发性损伤通常是不可逆的,但涉及细胞功能障碍、血流紊乱以及血脑屏障离子通量变化和自由基水平升高的继发性影响可能适合治疗。目前,主流医学中没有神经保护剂来中断这些继发性过程并改善患者的神经学预后。针灸有望填补这一空白,并给出了相关科学证据。文中详细讨论了与运动相关的脑损伤。