| Popis: |
Acupuncture, an important component of traditional Chinese medicine, has gained growing attention around the world in the past decades. Both manual and electroacupuncture are commonly used in clinical practice, especially by patients with gastrointestinal disorders seeking symptoms control due to disease signs recurrence and/or lack of effective treatments. Currently, patients with functional gastrointestinal disorders, constipation, gastroesophageal reflux disease, inflammatory bowel disease, ileus, acute pancreatitis, and gastroparesis may benefit from acupuncture treatment, as clinically evident, and the most frequently used acupoints are chosen from the large intestine, stomach, bladder, and spleen meridian. The underlying mechanisms of acupuncture involve the neuromodulation, adjustment of gastrointestinal motility and visceral hypersensitivity, anti-inflammation, repairment of gut microbiota, and intestinal barrier. As methodology advanced, cumulative number of well-designed clinical trials has been established, which might help elevating clinicians and gastroenterologists' awareness and perception toward application of acupuncture for gastrointestinal diseases management.针刺作为中医的重要组成部分，在过去几十年里受到了全世界越来越多的关注。传统针刺与电针是临床最常用的治疗方法，尤其适用于胃肠道疾病患者。由于症状的复发，或有时由于缺乏有效的治疗，患者经常寻求通过针刺来控制症状。对于功能性胃肠疾病、便秘、胃食管反流病、炎症性肠病、肠梗阻、急性胰腺炎、胃轻瘫等患者，临床证据表明针刺治疗可能会获益，最常用的穴位选自大肠经、胃经、膀胱经和脾经。针刺的作用机制涉及神经、胃肠动力和内脏高敏的调节、抗炎、肠道菌群改善和肠道屏障修复等。随着方法学的进步，精心设计的临床试验逐渐增多，这将有助于提高临床医生和胃肠病学家对针刺应用于胃肠道疾病管理的意识。. |
Plný text