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探索针灸作为抽动障碍的一种治疗方法:对当前认识和潜在益处的综述

Exploring acupuncture as a therapeutic approach for tic disorders: a review of current understanding and potential benefits.

作者信息

Liu Haoyang, Wang Chunping, Zhang Hongbin, Rezaei Mohammad J

机构信息

School of Pharmacy, Liaoning University of Traditional Chinese Medicine, Dalian, Liaoning, China.

Shouguang Hospital of T.C.M. Emergency Department, Shouguang, Shandong, China.

出版信息

Front Neurol. 2025 Mar 14;16:1447818. doi: 10.3389/fneur.2025.1447818. eCollection 2025.

DOI:10.3389/fneur.2025.1447818
PMID:40162008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949814/
Abstract

Tic disorders (TD) refer to a condition where individuals experience recurring motor movements (e.g., eye blinking) and/or vocalizations (e.g., throat clearing). These disorders vary in terms of duration, cause, and manifestation of symptoms. Tourette's syndrome (TS) involves the presence of ongoing motor and vocal tics for a minimum of 1 year, with fluctuating intensity. Persistent chronic motor or vocal tic disorder is characterized by either motor or vocal tics (not both) present for at least 1 year. Provisional TD presents with either motor or vocal tics (not both) that have been present for less than 12 months. Though medications like Aripiprazole and dopamine receptor blockers are frequently prescribed, their potential unwanted consequences increase, may result in low adherence. In an effort to improve and broaden the care available for children diagnosed with TD, alternative methods such as acupuncture are being investigated and considered. Acupuncture is a method of traditional Chinese medicine that includes the placement of thin needles into particular areas of the body in order to correct any disruptions or irregularities. Research has demonstrated that acupuncture can help regulate abnormal brain function and relieve tic symptoms in individuals with TD. Additional studies are required to fully evaluate the usefulness of complementary treatments in addressing TD in young individuals, despite its common usage. Herein, we summarized the therapeutic effects of acupuncture in the treatment of TD.

摘要

抽动障碍(TD)是指个体反复出现运动性动作(如眨眼)和/或发声(如清嗓)的一种病症。这些障碍在持续时间、病因和症状表现方面各不相同。 Tourette综合征(TS)的特征是持续存在运动性和发声性抽动至少1年,且强度波动。持续性慢性运动性或发声性抽动障碍的特点是存在运动性或发声性抽动(而非两者兼有)至少1年。暂时性TD表现为运动性或发声性抽动(而非两者兼有),且持续时间少于12个月。尽管常用阿立哌唑和多巴胺受体阻滞剂等药物,但它们潜在的不良后果会增加,可能导致依从性降低。为了改善和扩大为被诊断患有TD的儿童提供的护理,正在研究和考虑针灸等替代方法。针灸是一种中医方法,包括将细针插入身体的特定部位,以纠正任何紊乱或异常情况。研究表明,针灸可以帮助调节TD患者的异常脑功能并缓解抽动症状。尽管针灸被广泛使用,但仍需要更多研究来全面评估辅助治疗对年轻TD患者的有效性。在此,我们总结了针灸治疗TD的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589b/11949814/65524de00b84/fneur-16-1447818-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589b/11949814/e1dd958da24c/fneur-16-1447818-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589b/11949814/65524de00b84/fneur-16-1447818-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589b/11949814/e1dd958da24c/fneur-16-1447818-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/589b/11949814/65524de00b84/fneur-16-1447818-g002.jpg

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An Update on the Diagnosis and Management of Tic Disorders.抽动障碍的诊断与管理最新进展
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Acupuncture and other traditional Chinese medicine therapies in the treatment of children's tic syndrome: A network meta-analysis.针灸及其他中医治疗方法治疗儿童抽动症:一项网状Meta分析
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