针治疗类风湿性关节炎:抗炎和止痛的生物机制
Tingting Liu1, Simin Du1, Guorui Yan2
1Research Center of Experimental Acupuncture Science, School of Acupuncture, Moxibustion, and Tuina.
The American journal of Chinese medicine
|February 20, 2026
概括
针通过减少炎症和保护关节,有效治疗类风湿性关节炎 (RA). 它通过调节免疫细胞,氧化应激和骨吸收途径来起作用,同时也减轻疼痛和改善情绪.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 综合医学是一个整体的医学.
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致关节炎症和破坏.
- 针是一种安全,具有成本效益的RA治疗方法,副作用最小.
- 需要进一步的研究来优化针在RA治疗中的应用.
研究的目的:
- 系统地审查针治疗RA的临床应用.
- 总结一下最近在了解针在RA中的作用机制方面的进展.
- 为未来的研究和临床实践提供见解.
主要方法:
- 在过去十年中,对国内和国际有关针治疗RA的研究进行了系统的文献综述.
- 对临床试验数据和机械学研究结果的分析.
- 专注于支针治疗效果的基础上的分子和细胞机制.
主要成果:
- 针调节巨细胞极化 (M1/M2比) 和T细胞平衡 (Treg/Th17).
- 它通过Keap1-Nrf2/ARE/HO-1通路减少氧化应激,并通过降低RANKL.抑制骨质细胞形成.
- 针还可以抑制结膜血管生成,调节自 (AMPK/ULK1,PI3K/Akt/mTOR),缓解疼痛和心理困扰.
结论:
- 针对类风湿性关节炎提供了多方面的治疗益处.
- 它的机制包括免疫调节,抗氧化作用,骨保护和疼痛缓解.
- 持续的研究和临床整合可以增强针在RA治疗中的作用.
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