针刺对肠运动的调节作用及其神经机制

Effect of acupuncture on intestinal motility and related neural mechanisms

本文综述近十年来关于针刺调节肠运动的相关文献,分析针刺对肠运动的调节作用及其神经机制.结果显示针刺对肠运动的影响除了增强或抑制效应外,还可表现为对肠道功能的双向、良性调节作用.而针效发挥的神经机制主要由中枢神经系统、外周神经系统、肠神经系统共同参与.现有针刺调节胃肠动力的研究以胃运动为主,缺乏对肠运动调节的研究,且目前的研究结果仍然存在一些问题.建议开展更多针刺调节肠运动的研究,并加强研究质量.在神经机制方面,今后的研究应侧重对参与针效发挥的中枢机制以及针刺信号传导通路的探讨.

We review the literature about the effect of acupuncture on intestinal motility in recent 10 years and analyze the related neural mechanisms. In addition to the enhancing or inhibitory effect on intestinal movement, acupuncture can show a bidirectional modulatory effect on intestinal function. The neural mechanism related to acupuncture involves the central nervous system, the autonomic nervous system and the enteric nervous system. Most of acupuncture studies focused on the gastric motility, and there is a lack of studies on the intestinal motility. More acupuncture studies on intestinal motility should be conducted, and the quality of studies should be enhanced. Future research should pay attention to the central mechanism and the signal transduction pathways related to acupuncture.