首页|期刊导航|世界科学技术-中医药现代化|试析多模态数据融合在针灸调节糖尿病周围神经病变神经传导速度中的应用前景

试析多模态数据融合在针灸调节糖尿病周围神经病变神经传导速度中的应用前景OA

Application Analysis of Multimodal Data Fusion in Acupuncture Regulation of Nerve Conduction Velocity in Diabetic Peripheral Neuropathy

中文摘要英文摘要

针灸治疗糖尿病周围神经病变(Diabetic peripheral neuropathy,DPN)已有一定临床和实验研究基础,神经功能改善是其疗效评价的重要内容.神经传导速度(Nerve conduction velocity,NCV)可较为客观地反映神经纤维传导功能,也是诊断神经病变和评估治疗效果的常用指标.然而,针刺干预DPN的作用并不局限于神经传导功能,还可能涉及症状缓解、神经结构修复和代谢状态改善等多个层面,仅依赖NCV评估,难以充分反映针刺疗效的整体特征.多模态数据融合技术可整合神经电生理、临床表型、影像学及代谢相关数据,为不同维度指标之间的关联分析提供方法支持.基于此,本文梳理针刺干预DPN及其调节NCV的相关临床与实验研究,并从多模态融合的角度探讨NCV、代谢水平、神经结构和症状量表等指标联合应用的可能路径.同时,进一步分析多模态数据在DPN分型和个体化针刺方案优化中的应用前景,以期为针刺治疗DPN的疗效评价和方案优化提供参考.

Acupuncture has shown notable therapeutic benefits in diabetic peripheral neuropathy(DPN),in which improvement of nerve function is a major outcome of interest.Nerve conduction velocity is widely regarded as the gold standard for quantitative assessment of peripheral nerve conduction and is extensively used for diagnosing neuropathy and evaluating treatment response.However,when applied to acupuncture efficacy evaluation,nerve conduction velocity alone is often insufficient to comprehensively capture multilayered effects including symptom relief,nerve repair,and metabolic remodeling,resulting in a mismatch between clinical needs and evaluation capability.Multimodal data fusion,by integrating heterogeneous data sources such as electrophysiology,clinical phenotypes,imaging,and metabolic data,provides a methodological basis for building cross-dimensional association models.Accordingly,this paper systematically reviews clinical and experimental studies on acupuncture intervention for diabetic peripheral neuropathy and its regulation of nerve conduction velocity.From a hierarchical perspective of multimodal fusion,we discuss feasible analytical pathways for incorporating nerve conduction velocity together with metabolic profiles,neural structural information,and symptom scales.We further examine the potential utility of multimodal data in diabetic peripheral neuropathy subtype stratification and in optimizing individualized acupuncture protocols.This work aims to provide a reference for efficacy evaluation and protocol optimization of acupuncture treatment for DPN.

王璇;李维峰;仇凡;陈璟

江苏医药职业学院 盐城 224005盐城市中医院(南京中医药大学附属盐城医院)盐城 224002江苏医药职业学院 盐城 224005江苏医药职业学院 盐城 224005

医药卫生

多模态数据融合针灸糖尿病周围神经病变神经传导速度

Multimodal data fusionAcupunctureDiabetic peripheral neuropathyNerve conduction velocity

《世界科学技术-中医药现代化》 2026 (9)

2859-2866,8

国家自然科学基金委员会青年科学基金项目(82405567):基于MCT1介导的轴胶耦连探讨电针改善糖尿病周围神经脱髓鞘的机制研究,负责人:王璇江苏省青年科技学会项目(JSTJ-2025-890):江苏省青年科技人才托举工程项目,负责人:王璇盐城市应用基础研究项目(YCBK202531):基于神经线粒体质量控制途径探讨电针调控糖尿病周围神经病理痛的效应机制,负责人:王璇.

10.11842/wst.20260627003

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