针刺治疗心肌缺血再灌注损伤介入时机的研究探析  

Studies on Acupuncture Intervention Timing for MIRI

作　　者：孙千惠 古春凌 杨守亲 杨智文 戴兴业 仇兴华 程凯[1] SUN Qianhui;GU Chunling;YANG Shouqin;YANG Zhiwen;DAI Xingye;QIU Xinghua;CHENG Kai(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《针灸临床杂志》2024年第1期93-96,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：当前对于心肌缺血再灌注损伤(MIRI)的研究主要集中在电针预处理可以减轻再灌注损伤,但是急性心肌梗死往往发病急骤,不具备临床可预见性,除了重视预处理外,在发病中和发病后进行干预同样具备临床适用性。通过查阅针刺治疗心肌缺血再灌注损伤的文献,对不同的针刺介入时机进行探讨,将介入时机分为预处理和后处理,预处理对应前驱期即缺血前,后处理对应缺血后,分为再灌注前及再灌注后。旨在明确不同介入时机治疗心肌缺血再灌注损伤的有效性,为针刺治疗方案的选择提供依据。Current researches on myocardial ischemia reperfusion injury(MIRI)mainly focus on electro-acupuncture pre-treatment to reduce reperfusion injury,but acute myocardial infarction often has an acute onset and is not clinically predictable,so in addition to pre-treatment,intervention during and after the onset also has the clinical applicability.By reviewing the literature on MIRI treated with acupuncture,different timing of acupuncture are discussed.The timing of intervention was divided into pre-treatment and post-treatment,with pre-treatment corresponding to pre-ischemia,and post-treatment for post-ischemia,which was divided into pre-reperfusion and post-reperfusion correspondingly.The aim is to clarify the effectiveness of different intervention timing in treating MIRI and to provide basis for the selection of acupuncture treatment plan.

关 键 词：心肌缺血再灌注损伤 针刺 介入时机 预处理 后处理 

分 类 号：R246.1[医药卫生—针灸推拿学]