glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”10.25700/NJG.2020.04.07glaucoma-308Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEW OF LITERATUREРоль акупунктуры в комплексном лечении глаукомыRole of acupuncture in the complex treatment of glaucomaБикбовМ. М.BikbovM. M.

Доктор медицинских наук, профессор, директор

450008, Уфа, ул. Пушкина, 90.

 

Med.Sc.D., Professor, Director 

90 Pushkin st., Ufa, 450008

ЗайнуллинаН. Б.ZaynullinaN. B.

Зайнуллина Нелли Булатовна, кандидат медицинских наук, старший научный сотрудник отделения хирургии роговицы и хрусталика

450008, Уфа, ул. Пушкина, 90.

 

Ph.D., Senior Researcher of the Department of Corneal and Lens Surgery

90 Pushkin st., Ufa, 450008

NelliChka555@yandex.ruМатюхинаЕ. Н.MatyukhinaE. N.

Врач-офтальмолог взрослого консультативно-поликлинического отделения

450008, Уфа, ул. Пушкина, 90.

Ophthalmologist of the Adult Consultive Polyclinic Department N 1

90 Pushkin st., Ufa, 450008

ГБУ «Уфимский НИИ глазных болезней Академии наук Республики Башкортостан»РоссияUfa Eye Research InstituteRussian Federation2020231120201945963Copyright © Бикбов М.М., Зайнуллина Н.Б., Матюхина Е.Н., 20202020Бикбов М.М., Зайнуллина Н.Б., Матюхина Е.Н.Bikbov M.M., Zaynullina N.B., Matyukhina E.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.glaucomajournal.ru/jour/article/view/308

Распространенность глаукомной патологии в современном обществе продолжает расти, несмотря на прогресс в медикаментозном и хирургическом лечении данного заболевания. При прогрессировании заболевания необходим поиск дополнительных и эффективных методов лечения глаукомы. Одним из немедикаментозных методов лечения является рефлексотерапия. Данный вид лечения может быть эффективным и экономически выгодным методом, применяемым с целью улучшения общего состояния, а также снижения внутриглазного давления и фармакологической нагрузки на пациента. Представленный нами обзор исследовательских работ показывает, что результаты лечения пациентов с глаукомой методом акупунктуры неоднозначны, противоречивы и нуждаются в дальнейшем, более детальном исследовании эффективности акупунктуры в лечении пациентов с глаукомной нейрооптикопатией.

Despite certain progress in the medical and surgical treatment of glaucoma, the prevalence of this disease in modern society continues to grow. It is necessary to search for additional and effective methods of glaucoma management in the progression of the disease. One of these non-drug treatment methods is reflexotherapy. This type of treatment can be an effective and cost-effective method used to improve the overall condition, as well as reduce intraocular pressure and pharmacological load on the patient. The review of research papers shows that the results of treatment of patients with glaucoma by acupuncture are ambiguous and contradictory and require further, more detailed study of the effectiveness of acupuncture in the treatment of patients with glaucomatous optic neuropathy.

акупунктураглаукомаглаукомная нейрооптикопатияатрофия зрительного нерваacupunctureglaucomaglaucomatous optic neuropathyoptic nerve atrophyReferencesLaw S.K., Wang L., Li T. Acupuncture for glaucoma (Review). Cochrane Database of Systematic Reviews. 2020; 2:33. doi:10.1002/14651858.CD006030.pub3Law S.K., Wang L., Li T. Acupuncture for glaucoma (Review). Cochrane Database of Systematic Reviews. 2020; 2:33. doi:10.1002/14651858.CD006030.pub3Resch H., Garhofer G., Fuchsjäger-Mayrl G., Hommer A. et al. Endothelial dysfunction in glaucoma. Acta Ophthalmol. 2009; 87(1):4–12. doi:10.1111/j.1755-3768.2007.01167.xResch H., Garhofer G., Fuchsjäger-Mayrl G., Hommer A. et al. Endothelial dysfunction in glaucoma. Acta Ophthalmol. 2009; 87(1):4–12. doi:10.1111/j.1755-3768.2007.01167.xKonieczka K., Choi H. J., Koch S., Fankhauser F. et al. Relationship between normal tension glaucoma and Flammer syndrome. Epma J. 2017; 8(2):111–117. doi:10.1007/s13167-017-0097-3Konieczka K., Choi H. J., Koch S., Fankhauser F. et al. Relationship between normal tension glaucoma and Flammer syndrome. Epma J. 2017; 8(2):111–117. doi:10.1007/s13167-017-0097-3Fuchsjäger-Mayrl G., Wally B., Georgopoulos M., Rainer G. et al. Ocular blood flow and systemic blood pressure in patients with primary open-angle glaucoma and ocular hypertension. Invest Ophthalmol Vis Sci. 2004; 45(3):834–839. doi:10.1167/iovs.03-0461Fuchsjäger-Mayrl G., Wally B., Georgopoulos M., Rainer G. et al. Ocular blood flow and systemic blood pressure in patients with primary open-angle glaucoma and ocular hypertension. Invest Ophthalmol Vis Sci. 2004; 45(3):834–839. doi:10.1167/iovs.03-0461Coleman A.L. Glaucoma. The Lancet. 1999; 354(9192):1803-1810. doi:10.1016/S0140-6736(99)04240-3Coleman A.L. Glaucoma. The Lancet. 1999; 354(9192):1803-1810. doi:10.1016/S0140-6736(99)04240-3Алексеев В.Н., Лысенко О.И. Особенности состояния нервной системы больных глаукомой. Национальный журнал глаукома. 2017; 3:103–112.Alekseev V.N., Lysenko O.I. Features of the state of the nervous system of patients with glaucoma. National Glaucoma Journal. 2017; 3:103– 112. (In Russ.).Воробьев И.В., Мошетова Л.К., Щербакова Е.В. Результаты лечения первичной открытоугольной глаукомы в сочетании с диабетической ретинопатией. Офтальмология. 2017; 14(1):40–46. doi:10.18008/1816-5095-2017-1-40-46Vorobiev I.V., Moshetova L.K., Scherbakova E.V. Results of treatment of primary open-angle glaucoma in combination with diabetic retinopathy. Ophthalmology. 2017; 14(1):40–46. (In Russ.). doi:10.18008/1816-5095-2017-1-40-46Аветисов С.Э., Егоров Е.А., Мошетова Л.К., Нероев В.В. и др. Офтальмология. Национальное руководство. М.: ГЭОТАР-Медиа; 2014. 736 с.Avetisov S.E., Egorov E.A., Moshetova L.K., Neroev V.V. et al. Oftal'mologija. Nacional'noe rukovodstvo. [Ophthalmology. National leadership]. Moscow: GEOTAR-Media; 2014. 736 p. (In Russ.).Glen F.C., Crabb D.P., Garway-Heath D.F. The direction of research into visual disability and quality of life in glaucoma. BMC Ophthalmology. 2011; 19(11):1471-2415. doi:10.1186/1471-2415-11-19Glen F.C., Crabb D.P., Garway-Heath D.F. The direction of research into visual disability and quality of life in glaucoma. BMC Ophthalmology. 2011; 19(11):1471-2415. doi:10.1186/1471-2415-11-19Курышева Н.И. Сосудистая теория патогенеза глаукомной оптиконейропатии: обоснование с позиций анатомии и физиологии глазного кровотока. Часть 1. Национальный журнал глаукома. 2017; 16(3):90–97.Kurysheva N.I. The vascular theory of the pathogenesis of glaucoma optoneuropathy: justification from the standpoint of the anatomy and physiology of ocular blood flow. Part 1. National Glaucoma Journal. 2017; 16(3):90–97. (In Russ.).Quigley H.A., Cone F.E. Development of diagnostic and treatment strategies for glaucoma through understanding and modification of sclera and lamina cribrosa connective tissue. Cell Tissue Res. 2013; 2(353):231-244. doi:10.1007/s00441-013-1603-0Quigley H.A., Cone F.E. Development of diagnostic and treatment strategies for glaucoma through understanding and modification of sclera and lamina cribrosa connective tissue. Cell Tissue Res. 2013; 2(353):231-244. doi:10.1007/s00441-013-1603-0Василенок А.М., Осипова Н.Н., Шаткина Г.В. Лекции по рефлексотерапии: Учебное пособие. М.: “Су Джок Академия”; 2004. 374 c.Vasilenok A.M., Osipova N.N., Shatkina G.V. Lekcii po refleksoterapii [Lectures on reflexology: a manual]. Moscow: “Su Jok Academy”; 2004; 374 p. (In Russ.).Лувсан Г. Действие иглоукалывания на функциональное состояние центрального и периферического отделов нервной системы. Актуальные вопросы зоологии и физиологии. 1972; 1:66–73.Luvsan G. The effect of acupuncture on the functional state of the central and peripheral parts of the nervous system. Actual questions of zoology and physiology. 1972; 1:66–73. (In Russ.).Лувсан Г. Традиционные и современные аспекты восточной рефлексотерапии. М.; 1990. 576 c.Luvsan G. Traditional and modern aspects of oriental refle-xology. Moscow; 1990. 576 p. (In Russ.).Law S.K., Li T. Acupuncture for glaucoma. Cochrane Database Syst Rev. 2013; 31(5):CD006030. doi: 10.1002/14651858.CD006030.pub4Law S.K., Li T. Acupuncture for glaucoma. Cochrane Database Syst Rev. 2013; 31(5):CD006030. doi: 10.1002/14651858.CD006030.pub4Law S.K., Lowe S., Law S.M., Giaconi J.A. et al. Prospective Evaluation of Acupuncture as Treatment for Glaucoma. Am J Ophthalmol. 2015; 160(2):256–265. doi:10.1016/j.ajo.2015.04.033Law S.K., Lowe S., Law S.M., Giaconi J.A. et al. Prospective Evaluation of Acupuncture as Treatment for Glaucoma. Am J Ophthalmol. 2015; 160(2):256–265. doi:10.1016/j.ajo.2015.04.033Kurusu M., Watanabe K., Nakazawa T., Seki T. et al. Acupuncture for patients with glaucoma. Explore (NY). 2005; 1(5):372–376. doi:10.1016/j.explore.2005.06.007Kurusu M., Watanabe K., Nakazawa T., Seki T. et al. Acupuncture for patients with glaucoma. Explore (NY). 2005; 1(5):372–376. doi:10.1016/j.explore.2005.06.007Ralston N.S. Successful treatment and management of acute glaucoma using acupuncture. Am J Acupuncture. 1977; 5(3):283–285.Ralston N.S. Successful treatment and management of acute glaucoma using acupuncture. Am J Acupuncture. 1977; 5(3):283–285.Dabov S., Goutoranov G., Ivanova R., Petkova N. Clinical application of acupuncture in ophthalmology. Acupunct Electrother Res. 1985; 10(1–2):79–93. doi: 10.3727/036012985816714577Dabov S., Goutoranov G., Ivanova R., Petkova N. Clinical application of acupuncture in ophthalmology. Acupunct Electrother Res. 1985; 10(1–2):79–93. doi: 10.3727/036012985816714577Wong S., Ching R. The use of acupuncture in ophthalmology. Am J Chin Med. 1980; 8(1–2):104–153. doi: 10.1142/s0192415x80000098Wong S., Ching R. The use of acupuncture in ophthalmology. Am J Chin Med. 1980; 8(1–2):104–153. doi: 10.1142/s0192415x80000098Her J.S., Liu P.L., Cheng N.C., Hung H.C. et al. Intraocular pressurelowering effect of auricular acupressure in patients with glaucoma: a prospective, single-blinded, randomized controlled trial. J of Alternative and Complementary Medicine. 2010; 16(11):1177–1184. doi: 10.1089/acm.2010.0020Her J.S., Liu P.L., Cheng N.C., Hung H.C. et al. Intraocular pressurelowering effect of auricular acupressure in patients with glaucoma: a prospective, single-blinded, randomized controlled trial. J of Alternative and Complementary Medicine. 2010; 16(11):1177–1184. doi: 10.1089/acm.2010.0020Uhrig S., Hummelsberger J., Brinkhaus B. Standardized acupuncture therapy in patients with ocular hypertension or glaucoma — results of a prospective observation study. Forsch Komplementarmed Klass Naturheilkd. 2003; 10(5):256-261. doi:10.1159/000074780Uhrig S., Hummelsberger J., Brinkhaus B. Standardized acupuncture therapy in patients with ocular hypertension or glaucoma — results of a prospective observation study. Forsch Komplementarmed Klass Naturheilkd. 2003; 10(5):256-261. doi:10.1159/000074780Liu W., Yang G., Zhao X.J., Song Y.G. et al. Impact of acupuncture on 24 h intraocular pressure of glaucoma. Zhongguo Zhen Jiu. 2011; 31(6):518-520.Liu W., Yang G., Zhao X.J., Song Y.G. et al. Impact of acupuncture on 24 h intraocular pressure of glaucoma. Zhongguo Zhen Jiu. 2011; 31(6):518-520.Gao R., Chun-Hu Shi, Jin-Hui Tian, Kang Z. Systematic review of randomized controlled trials of acupuncture for glaucoma. Zhongguo Zhen Jiu. 2011; 31(12):1142-1145.Gao R., Chun-Hu Shi, Jin-Hui Tian, Kang Z. Systematic review of randomized controlled trials of acupuncture for glaucoma. Zhongguo Zhen Jiu. 2011; 31(12):1142-1145.Kurusu M., Watanabe K., Nakazawa T., Seki T. et al. Acupuncture for patients with glaucoma. EXPLORE the Journal of Science and Healing. 2005; 1(5):372-376. doi:10.1016/j.explore.2005.06.007Kurusu M., Watanabe K., Nakazawa T., Seki T. et al. Acupuncture for patients with glaucoma. EXPLORE the Journal of Science and Healing. 2005; 1(5):372-376. doi:10.1016/j.explore.2005.06.007Liu C.Y., Qin S., Li Z.R. Observation on the efcacy of acupuncture at xin-ming points plus strong reinforcing manipulation in treating optic atrophy. Shanghai J of Acupuncture and Moxibustion. 2016; 35(9):1093–1095.Liu C.Y., Qin S., Li Z.R. Observation on the efcacy of acupuncture at xin-ming points plus strong reinforcing manipulation in treating optic atrophy. Shanghai J of Acupuncture and Moxibustion. 2016; 35(9):1093–1095.Wu X.M., Feng S.F., Zhou Z.A. Clinical study of compound anisodine hydrobromide plus acupuncture for optic atrophy. J of Practical Traditional Chinese Medicine. 2010; 26(1):4.Wu X.M., Feng S.F., Zhou Z.A. Clinical study of compound anisodine hydrobromide plus acupuncture for optic atrophy. J of Practical Traditional Chinese Medicine. 2010; 26(1):4.Tian X.G. Observation on clinical efects of Zheng’s warming needling method in treating optic atrophy of qi stagnation and blood stasis pattern. Western J of Traditional Chinese Medicine. 2018; 31(4):99–101.Tian X.G. Observation on clinical efects of Zheng’s warming needling method in treating optic atrophy of qi stagnation and blood stasis pattern. Western J of Traditional Chinese Medicine. 2018; 31(4):99–101.Xu L. Forty-one cases of secondary optic atrophy after anti-glaucoma surgery treated with combined therapy of acupuncture and medication. Zhongguo Zhen Jiu. 2012; 32:689–690.Xu L. Forty-one cases of secondary optic atrophy after anti-glaucoma surgery treated with combined therapy of acupuncture and medication. Zhongguo Zhen Jiu. 2012; 32:689–690.Dai Y., Liu M., Zhang Y., Wei S. et al. Meta analysis of acupuncture in the treatment of optic atrophy. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013;38:283–290. doi:10.3969/j.issn.1672-7347.2013.03.012Dai Y., Liu M., Zhang Y., Wei S. et al. Meta analysis of acupuncture in the treatment of optic atrophy. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013;38:283–290. doi:10.3969/j.issn.1672-7347.2013.03.012Huang C.J. Clinical research and basic research on acupuncture treatment of glaucomatous optic atrophy. Heilongjiang University of Traditional Chinese Medicine. Heilongjiang, 2005.Huang C.J. Clinical research and basic research on acupuncture treatment of glaucomatous optic atrophy. Heilongjiang University of Traditional Chinese Medicine. Heilongjiang, 2005.Liu Y., Yang G., Long Y.S., Jiao Y. Observation on therapeutic effect of acupuncture for treatment of optic atrophy. Zhongguo Zhen Jiu. 2009; 29(9):714-716.Liu Y., Yang G., Long Y.S., Jiao Y. Observation on therapeutic effect of acupuncture for treatment of optic atrophy. Zhongguo Zhen Jiu. 2009; 29(9):714-716.Leszczynska A., Ramm L., Spoerl E., EPillunat L. et al. The shortterm effect of acupuncture on different ocular blood flow parameters in patients with primary open-angle glaucoma: a randomized, clinical study. Clinical Ophthalmology. 2018; 12:1285–1291. doi:10.2147/OPTH.S170396Leszczynska A., Ramm L., Spoerl E., EPillunat L. et al. The shortterm effect of acupuncture on different ocular blood flow parameters in patients with primary open-angle glaucoma: a randomized, clinical study. Clinical Ophthalmology. 2018; 12:1285–1291. doi:10.2147/OPTH.S170396Takayama S., Seki T., Nakazawa T., Aizawa N. et al. Short-term effects of acupuncture on open-angle glaucoma in retrobulbar circulation: additional therapy to standard medication. EvidenceBased Complementary and Alternative Medicine. 2011; 157090:1-6. doi:10.1155/2011/157090Takayama S., Seki T., Nakazawa T., Aizawa N. et al. Short-term effects of acupuncture on open-angle glaucoma in retrobulbar circulation: additional therapy to standard medication. EvidenceBased Complementary and Alternative Medicine. 2011; 157090:1-6. doi:10.1155/2011/157090Tsui-Yun Y., Jen-Chien L., Chi-Feng L. Effect of transcutaneous electrical nerve stimulation through acupoints of Pucan (BL 61) and Shenmai (BL 62) on intraocular pressure in patients with glaucoma: a randomized controlled trial. J Tradit Chin Med. 2016; 36(1):51-56. doi:10.1016/S0254-6272(16)30008-5Tsui-Yun Y., Jen-Chien L., Chi-Feng L. Effect of transcutaneous electrical nerve stimulation through acupoints of Pucan (BL 61) and Shenmai (BL 62) on intraocular pressure in patients with glaucoma: a randomized controlled trial. J Tradit Chin Med. 2016; 36(1):51-56. doi:10.1016/S0254-6272(16)30008-5Xue Y.C. Meridian Acupoints. 2nd ed. Beijing: Chinese Medicine CO; 2007: 22.Xue Y.C. Meridian Acupoints. 2nd ed. Beijing: Chinese Medicine CO; 2007: 22.Валуева И.В., Киргизова О.Ю. Эффективность рефлексотерапии при лечении больных глаукомой. Acta Biomedica Scientifica. 2018; 3(5):72-75. doi:10.29413/ABS.2018-3.5.11Valueva I.V., Kirgizova O.Yu. The effectiveness of reflexology in the treatment of patients with glaucoma. Acta Biomedica Scientifica 2018; 3(5):72-75. (In Russ.). doi:10.29413/ABS.2018-3.5.11Xu H., Wang S., Guo M.H., ZHANG Ren’s experience of treatment on glaucoma with acupuncture. Zhongguo Zhen Jiu. 2012; 32(5):444-447.Xu H., Wang S., Guo M.H., ZHANG Ren’s experience of treatment on glaucoma with acupuncture. Zhongguo Zhen Jiu. 2012; 32(5):444-447.Канюков В.Н., Ким С.М. Комплексный подход в лечении атрофии зрительного нерва различного генеза. Вестник Оренбурского государственного университета. 2007; 78:100-102.Kanyukov V.N., Kim S.M. An integrated approach in the treatment of optic atrophy of various origins. Bulletin of the Orenburg State University. 2007; 78:100-102. (In Russ.).

The authors declare that there are no conflicts of interest present.