Wang Lin, Wang Li-Min
Department of Endocrinology, Xi'an Gaoxin Hospital, Xi'an, China.
Department of Clinical Laboratory, Shaanxi Province Hospital of Traditional Chinese Medicine, Xi'an, China.
Medicine (Baltimore). 2025 Jun 6;104(23):e42646. doi: 10.1097/MD.0000000000042646.
Acupuncture is increasingly recognized for its potential in managing diabetic peripheral neuropathy (DPN). This condition severely impacts quality of life by inducing symptoms such as pain and sensory loss, and, in severe cases, leading to amputation. Research indicates that acupuncture may alleviate these symptoms through mechanisms that include enhancing neural blood flow, promoting nerve regeneration, and modulating glucose metabolism. Despite these promising findings, the variability in acupuncture's effectiveness, along with the methodological limitations of existing studies-such as small sample sizes and lack of standardization-pose challenges. Future research should therefore focus on conducting large-scale, high-quality trials that could elucidate the specific mechanisms by which acupuncture benefits DPN and confirm its long-term efficacy. This would facilitate acupuncture's integration into comprehensive DPN management strategies, potentially improving outcomes by combining it with pharmacological and other therapies. Optimizing treatment protocols and personalizing acupuncture based on individual patient profiles could further enhance its effectiveness and integration into clinical practice.
针灸在治疗糖尿病周围神经病变(DPN)方面的潜力日益得到认可。这种疾病会引发疼痛和感觉丧失等症状,严重影响生活质量,在严重情况下还会导致截肢。研究表明,针灸可能通过增强神经血流、促进神经再生和调节葡萄糖代谢等机制来缓解这些症状。尽管有这些令人鼓舞的发现,但针灸疗效的变异性以及现有研究的方法学局限性,如样本量小和缺乏标准化,都带来了挑战。因此,未来的研究应专注于开展大规模、高质量的试验,以阐明针灸对DPN有益的具体机制,并证实其长期疗效。这将有助于将针灸纳入DPN综合管理策略,通过将其与药物治疗和其他疗法相结合,有可能改善治疗效果。根据个体患者情况优化治疗方案并实现针灸个性化,可进一步提高其有效性,并促进其融入临床实践。