中风后疲劳刍议

Brief Analysis of Post Stroke Fatigue

中风后疲劳(Post stroke fatigue PoSF)是脑卒中后常见的、独立存在的、复杂的症状。疲劳的严重程度与年龄、性别、脑损伤的严重程度或残疾程度无必然联系。PoSF的发生机制和发生因素尚不明确,治疗也缺乏相关研究,而祖国医学对疲劳很深刻的认识及对疲劳疗效确切,急性期多以实证为主,风火痰瘀和风痰瘀血多见,恢复期、后遗症期多以虚实夹杂为主,分别以"清热熄风,化痰通络"、"祛邪补虚"、"补肝肾,益气养血"为基础的辩证论治有广阔的前景。

Post stroke fatigue（PoSF） is and one of prevalent complicated and independent symptoms of the survivors,which is linked to reduced independence and case fatality.The severity of PoSF has no direct connection with age,sex,severity of brain injury or disability of the survivors,Despite its high prevalence,studies of PoSF latent causes,mecha-nism and interventions are scarce.It is unclear to the accurate mechanism and determined factors of PoSF,neither we have a lack of treatment research evidence on PoSF.There are profound knowledge and good evidences of traeatment of fatigue.Acute period,treatment base on＂clear fire down wind and melt phlegm clear meridians＂,Chronic period＂sup-port qi and blood＂,＂support liver or kidney＂,So there is a need to more knowledge PSF from Chinese Medcine perspec-tive to validate assessments of fatigue,and to evaluate the efficacy of fatigue management and treatment strategies in stroke survivors