[Research progress of acupuncture-moxibustion in treatment of spinal cord injury through mediating inflammatory reaction].

Ji-Lin Mei, Zhi-Xin Yang, Xiao-Ning Li
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Abstract

Inflammatory reaction after spinal cord injury (SCI) is the main obstacle to the recovery of neural function. In the occurrence and development of SCI, the complex regulatory mechanisms are involved in inflammatory reaction, including the activation of inflammatory cells (e.g.macrophages and microglia), and the release of cytokines (e.g. tumor necrosis factor, interleukin and chemokines). Acupuncture-moxibustion is significantly effective in clinical treatment of SCI, and its mechanism is related to adjusting the function of inflammatory cells after SCI, modulating the expression of cytokines and the activation of NLRP3 inflammatory bodies, as well as the expression of high mobility group protein B1 and calcitonin gene related peptide. This article summarizes the research progress of mechanism of inflammatory reaction after SCI and the effects of acupuncture-moxibustion intervention in recent years so that the new ideas can be provided to clarify the pathogenesis of SCI and the effect of acupuncture-moxibustion intervention.

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[针灸通过介导炎症反应治疗脊髓损伤的研究进展]。
脊髓损伤后的炎症反应是影响神经功能恢复的主要障碍。在脊髓损伤的发生发展过程中,炎症反应参与了复杂的调控机制,包括炎症细胞(如巨噬细胞、小胶质细胞)的激活,以及细胞因子(如肿瘤坏死因子、白细胞介素、趋化因子)的释放。针灸治疗脊髓损伤临床疗效显著,其机制与调节脊髓损伤后炎症细胞的功能、调节细胞因子的表达和NLRP3炎症小体的活化以及高迁移率组蛋白B1和降钙素基因相关肽的表达有关。本文就近年来脊髓损伤后炎症反应机制及针灸干预效果的研究进展进行综述,以期为阐明脊髓损伤的发病机制及针灸干预效果提供新的思路。
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