针灸治疗帕金森病自主神经功能障碍的临床研究进展  

Clinical Research Progress of Acupuncture and Moxibustion for Autonomic Dysfunction in Parkinson′s Disease

作　　者：沈琳 张潇文 吴璐一[1,3] 吴玭 胡晨芳 钟蕊 李国娜 陈奕奕[1] 王照钦 吴焕淦[1,2] SHEN Lin;ZHANG Xiaowen;WU Luyi;WU Pin;HU Chenfang;ZHONG Rui;LI Guona;CHEN Yiyi;WANG Zhaoqin;WU Huangan(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市针灸经络研究所,上海200030 [3]上海中医药大学,上海201203

出　　处：《世界中医药》2023年第13期1932-1937,共6页World Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(8190151891);上海市老龄化和妇儿健康研究专项(2020YJZX0134);上海市卫计委科研课题计划项目(20184Y0143)。

摘　　要：帕金森病(PD)是一种以静止性震颤、运动迟缓、肌张力增高、姿势步态异常等症状,以及便秘、夜尿症等非运动症状为主要临床表现的神经系统变性疾病。近年来研究表明,针灸对于PD的非运动症状,尤其是PD自主神经功能障碍所造成的一系列症状如心血管系统功能障碍、泌尿系统功能障碍、胃肠道功能障碍等具有良好的调节作用,但尚无综述对此类研究加以整理。因此,现总结归纳PD自主神经功能障碍的病理特点、临床表现、发病机制及针灸治疗PD自主神经功能障碍的临床研究进展,分析针灸治疗PD自主神经功能障碍相关症状的优势,以期为进一步研究的开展提供参考资料。Parkinson′s disease(PD)is a neurodegenerative disorder characterized by primary clinical symptoms such as resting tremors,bradykinesia,increased muscle rigidity,abnormal posture and gait,as well as non-motor symptoms including constipation and nocturia.Recent studies have shown that acupuncture and moxibustion have a good regulatory effect on the non-motor symptoms of PD,especially the series of symptoms caused by autonomic dysfunction,such as cardiovascular dysfunction,urinary system dysfunction,and gastrointestinal dysfunction.However,there is a lack of comprehensive reviews on this type of research.Therefore,this paper summarized the pathological characteristics,clinical manifestations,pathogenesis of autonomic dysfunction in PD,and the clinical research progress on acupuncture and moxibustion in the treatment of autonomic dysfunction in PD.It also analyzed the advantages of acupuncture and moxibustion in treating related symptoms of autonomic dysfunction in PD,aiming to provide reference materials for further research.

关 键 词：针灸 帕金森病 自主神经 功能障碍 综述 

分 类 号：R245[医药卫生—针灸推拿学]