针灸治疗中风后痉挛性瘫痪临床研究现状

Current situation of clinical research in acupuncture and moxibustion treatment of apoplexy spastic paralysis

中风痉挛性瘫痪是由于脑卒中(脑梗死或脑出血)导致皮层运动投射区和上运动中枢性瘫神经元径路(皮层脊髓束和皮层脑干束)损害而引起。临床以瘫痪患者的肌肉张力增高、腱反射亢进、浅反射消失为特点。对近5年来针灸治疗中风后痉挛性瘫痪疗效的临床研究文献进行总结。针灸治疗中风后痉挛性瘫痪的治法多样、操作方便、无不良反应,纵观文献,体针、头针、腹针及其他特殊针刺疗法,显示出针灸治疗中风后痉挛性瘫痪具有其独特优势,并已证实有显著的疗效。

Apoplexy spastic paralysis is due to the damage caused by stroke(infarction or cerebral hemorrhage),which induced the impairment in motor cortex projection area and upper motor neuron pathway. Apoplexy spastic paralysis is clinically characterized by increased muscle tone,hyperreflexia and decreased superficial reflex. This study summarized the past five-year-literatures on clinical research of acupuncture treatment for apoplexy spastic paralysis. There are varied methods in the acupuncture treatment of spastic paralysis after stroke. It is easy to operate and no adverse reactions. Throughout the literature,there are body acupuncture,scalp acupuncture,abdominal acupuncture and other special acupuncture. All of these acupuncture therapies show the unique advantages and significant effect on the spastic paralysis after stroke.