Acupuncture at Zusanli (ST36) for Experimental Sepsis: A Systematic Review.


Journal

Evidence-based complementary and alternative medicine : eCAM
ISSN: 1741-427X
Titre abrégé: Evid Based Complement Alternat Med
Pays: United States
ID NLM: 101215021

Informations de publication

Date de publication:
2020
Historique:
received: 03 07 2019
revised: 29 01 2020
accepted: 10 02 2020
entrez: 28 3 2020
pubmed: 28 3 2020
medline: 28 3 2020
Statut: epublish

Résumé

Sepsis is a global major health problem with high mortality rates. More effective therapy is needed for treating sepsis. Acupuncture has been used for various diseases, including severe infection, in China for more than 2,000 years. Previous studies reported that acupuncture at Zusanli (ST36) might be effective in treating sepsis, but the efficacy and the quality of evidence remain unclear since there is no systematic review on acupuncture at ST36 for sepsis. Seven databases were searched from the inception of each database up to May 2019. Ultimately, 54 studies using acupuncture at ST36 for the treatment of experimental sepsis were identified in both English and Chinese literature with systematic review procedures. Acupuncture might be useful in reducing injuries induced by sepsis in cardiac, lung, kidney, liver, gastrointestinal tract, and immune system. Its potential mechanisms for antisepsis might include reducing oxidative stress and inflammation, improving microcirculatory disturbance, and maintaining the immune balance mediated by dopamine. However, the positive findings should be interpreted with caution due to poor methodological quality and publication bias. Acupuncture at ST36 might be a promising complementary strategy for controlling sepsis inflammation, yet further studies are needed.

Sections du résumé

BACKGROUND BACKGROUND
Sepsis is a global major health problem with high mortality rates. More effective therapy is needed for treating sepsis. Acupuncture has been used for various diseases, including severe infection, in China for more than 2,000 years. Previous studies reported that acupuncture at Zusanli (ST36) might be effective in treating sepsis, but the efficacy and the quality of evidence remain unclear since there is no systematic review on acupuncture at ST36 for sepsis.
METHODS METHODS
Seven databases were searched from the inception of each database up to May 2019. Ultimately, 54 studies using acupuncture at ST36 for the treatment of experimental sepsis were identified in both English and Chinese literature with systematic review procedures.
RESULTS RESULTS
Acupuncture might be useful in reducing injuries induced by sepsis in cardiac, lung, kidney, liver, gastrointestinal tract, and immune system. Its potential mechanisms for antisepsis might include reducing oxidative stress and inflammation, improving microcirculatory disturbance, and maintaining the immune balance mediated by dopamine. However, the positive findings should be interpreted with caution due to poor methodological quality and publication bias.
CONCLUSION CONCLUSIONS
Acupuncture at ST36 might be a promising complementary strategy for controlling sepsis inflammation, yet further studies are needed.

Identifiants

pubmed: 32215037
doi: 10.1155/2020/3620741
pmc: PMC7081026
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

3620741

Informations de copyright

Copyright © 2020 Fang Lai et al.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest.

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Auteurs

Fang Lai (F)

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.
The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, Guangdong, China.
Chao En-Xiang Famous Chinese Medicine Expert Inheritance Studio, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong, China.

Yang Ren (Y)

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.

Chengzhi Lai (C)

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.

Rui Chen (R)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, Guangdong, China.

Xuelian Yin (X)

Bao'an Traditional Chinese Medicine Hospital, Guangzhou 510120, Guangdong, China.

Caixia Tan (C)

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.

Jiansen Li (J)

The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.

Chunmei Yang (C)

Mianyang Hospital of T.C.M., Mianyang 621000, Sichuan, China.

Guorong Liang (G)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, Guangdong, China.

Jun Li (J)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, Guangdong, China.

Ruifeng Zeng (R)

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, Guangdong, China.
The Clinical Medical College of Acupuncture Moxibustion and Rehabilitation of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong, China.

Classifications MeSH