针灸对运动性疲劳的防治作用

Effect of acupuncture in preventing and treating athletic fatigue

目的:在总结采用针灸防治运动性疲劳的应用研究基础上,进一步从理论方面探索其作用机制。资料来源:应用计算机检索万方数据库2000-01/2004-08相关针灸康复疗法及抗运动性疲劳的文章,限定文章语言为中文;检索词“针灸、物理康复、运动性疲劳”。资料选择:重点选择中医药和针灸抗运动性疲劳的研究与进展文献。实验研究包括动物实验组和对照组以及运动员定量负荷后血乳酸含量、血清乳酸脱氢酶活性和反应时、闪光融合频率、握力的改变方面的文献。纳入标准:①针灸动物对照试验。②试验包括药物对照组。排除标准:①非运动性疲劳实验的研究。②重复研究及Meta分析类文章。资料提炼:共收集到43篇关于抗运动性疲劳的实验研究,22个针灸试验符合纳入标准。排除的21篇试验中,14篇因系重复的同一研究,7篇为Meta分析研究。资料综合:针刺足三里穴提高运动能力机制可能与纠正自由基代谢失衡有关。针刺可以反射性的引起中枢神经的应激反应,改善人体各种生理生化指标,加速恢复机体的平衡状态,从而使超负荷运动造成的运动性疲劳征得以解除。针灸可调节机体免疫功能,且针加灸的作用优于单纯的针或灸的治疗。足三里、关元二穴被选择的频率较高,“足三里”穴的作用优于“关元”穴。

OBJECTIVE:Based on the summarization of the studies of the application of acup uncture in preventing and treating athletic fatigue,its mechanism is further inv estigated theoretically. DATA SOURCES:Wanfang database was scanned with computer to search Chinese arti cles about acupuncture rehabilitation therapy and against athletic fatigue publi shed from January 2000 to August 2004,thewere 'acupuncture,physical r ehabilitation,athletic fatigue'. STUDY SELECTION:Literatures focused on the study and progress of traditional C hinese medicine and acupuncture in treating athletic fatigue were selected.The e xperimental studies included literatures about animal experimental group and con trol group,quantitative content of blood lactic acid after loaded,the activity o f serum lactic dehydrogenase,reaction time,flash mixing frequency,and changes of grasping force.Inclusion criteria:①Control experiments of acupuncture on anima ls;②Experiments including drug control groups.Exclusion criteria:①Studies of n on athletic fatigue;②Repeated studies and Meta analysis. DATA EXTRACTION:Totally 43 experimental studies about anti athletic fatigue w ere collected,and 22 acupuncture experiments met the inclusion criteria;Among th e 21 are excluded studies,14 were repetitive,and 7 were Meta analysis. DATA SYNTHESIS:The mechanism of acupuncture at zusanli acupoint in improving m otor ability might be associate with its correction to the imbalance of free rad ical metabolism.Acupuncture could reflectively lead to the stress of central ner ve,ameliorate each physiological and biochemical indexes of human body,and accel erate the recovery of organic balance,so that athletic fatigue caused by overloa d exercise could be relieved.Acupuncture could regulate the immunological functi on of organ,and the effect of acupuncture plus massage was superior to that of a cupuncture or massage only.The acupoints of zusanli and guanyuan were used the m ost frequently,and the effect of zusanli was better than that of guanyuan. CONCLUSION:Athletic fatigue refers to the fact that one's physical function is out of proportion to his athletic load,and the malfunctions or pathological sym ptoms caused by long accumulation of fatigue.Acupuncture can prevent and treat a thletic fatigue,and improve motor ability,therefore enable the function of the p hysical organ to reach the optimized level.