[Progress of researches on acupuncture-moxibustion promoting wound repair].

Cai-Jiao Zhao, Li-Mei Yang, Zhi-Ling Deng, Li-Ying Huo, Cai-Ling Sheng, Xin-Yi Li
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Abstract

Wound is a common surgical disease characterized by skin defect or functional limitation. Studies have found that acupuncture-moxibustion plays an important role in wound healing. In this paper, we reviewed the mechanisms of acupuncture-moxibustion in promoting wound repair. Outcomes display that acupuncture-moxibustion has an action in promoting wound restoration by improving wound flow perfusion, promoting angiogenesis, increasing the number of fibroblasts and regulating collagen synthesis. In addition, acupuncture can effectively promote wound healing by controlling the release of inflammatory cytokines, up-regulating the expression of growth factors such as vascular endothelial growth factor and transforming growth factor-β1, and affecting phosphatidylinositol-3-kinase/protein kinase B, mitogen-activated protein kinase and advanced glycation end products/receptor for AGEs signaling pathways. Based on the above studies, it is highly recommended that future studies should pay more attention to the multi-mechanism coordinated regulation target center, and the therapeutic means and dose-effect relationship of acupuncture-moxibustion in tissue repair.

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[针灸促进伤口修复的研究进展]。
伤口是一种常见的外科疾病,其特征是皮肤缺损或功能限制。研究发现,针灸对伤口愈合有重要作用。本文就针灸促进创面修复的机制作一综述。结果显示,针灸通过改善创面血流灌注、促进血管生成、增加成纤维细胞数量、调节胶原合成等方式促进创面修复。此外,针刺可通过控制炎症细胞因子的释放,上调血管内皮生长因子、转化生长因子-β1等生长因子的表达,影响磷脂酰肌醇-3激酶/蛋白激酶B、丝裂原活化蛋白激酶、晚期糖基化终产物/受体等AGEs信号通路,有效促进创面愈合。基于以上研究,建议今后的研究应更多关注多机制协同调节的靶中心,以及针灸在组织修复中的治疗手段和量效关系。
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