摘要
缺血性脑卒中作为一种高致残和致死率的疾病,大多数患者往往遗留不同程度的后遗症状,严重影响日常生活质量。现代康复疗法时程长、起效缓慢,难以取得患者长期配合,获益有限。针灸作为一种已经明确证实有效的刺激方法,目前广泛应用于缺血性脑卒中后遗症的康复治疗。改善机体功能缺失的同时可修复损伤神经,弥补现代医学治疗短板,增强患者治疗依从性,已成为临床研究关注的重点。文章总结了缺血性脑卒中常见后遗症的针灸干预方法,包括运动障碍、吞咽困难、认知障碍、卒中后失眠及中风后抑郁等,并对其作用机制进行简析,揭示针灸多靶点、多层面、多通路的作用特点。同时指出当前研究存在的问题与缺陷,为今后患者的康复治疗提供理论依据与方法参考。
Ischemic stroke is a disease with a high mortality rate.Most patients often leave different degrees of sequelae,which seriously affect the quality of daily life.Modern rehabilitation therapy takes a long time and takes effect slowly.It is difficult to obtain long-term cooperation from patients,and the benefits are limited.Acupuncture,as a clearly proven effective stimulation method,is widely used in the rehabilitation treatment of sequelae of ischemic stroke.It has become the focus of clinical research to improve the body function loss,repair the injured nerve,make up for the shortcomings of modern medical treatment,and enhance the treatment compliance of patients.This paper summarizes the methods of acupuncture and moxibustion intervention for common sequelae of ischemic stroke,including dyskinesia,dysphagia,cognitive impairment,post-stroke insomnia and post-stroke depression,and briefly analyzes its mechanism of action,revealing the characteristics of acupuncture and moxibustion with multiple targets,levels and pathways.At the same time,it points out the problems and shortcomings of the current research,and provides theoretical basis and method reference for the rehabilitation treatment of patients in the future.
作者
朱洪航
柯梓
李星萍
刘洋
韩江秦
陈付艳
ZHU Honghang;KE Zi;LI Xingping;LIU Yang;HAN Jiangqin;CHEN Fuyan(First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Medical Research Center of Acupuncture and Moxibustion of Traditional Chinese Medicine,Tianjin 300193,China)
出处
《辽宁中医药大学学报》
CAS
2023年第11期117-121,共5页
Journal of Liaoning University of Traditional Chinese Medicine
基金
国家自然科学基金项目(81603684)。
关键词
针灸
缺血性脑卒中
作用机制
研究进展
acupuncture
ischemic stroke
mechanism of action
research progress
