卒中后手指拘挛的中医治疗进展

Progress in traditional Chinese medicine for finger spasm after stroke

手指拘挛是脑卒中后主要运动功能障碍之一,手指作为从事精细、复杂运动的工具,在大脑皮质的投影区面积较大,功能恢复相对困难,严重影响患者的生活质量,限制了患手再学习随意运动的能力。就手指拘挛状态的病因病机及近5年来针灸治疗卒中后手指拘挛的相关临床研究报道进行文献综述,包括药物疗法、针刺疗法和其他综合疗法,主要从临床治疗方面阐述针刺治疗该病的确切疗效,提示针刺治疗卒中后手指拘挛病变具有广阔前景,值得临床推广应用,并提出存在问题及改进意见。

Finger spasm is the major movement disorder after stroke.Fingers have larger cortical projection area as the tool of fine and complex motion.Their functional recovery are relatively difficult,which seriously affects the quality of life in patients and limited their affected hand to learn voluntary movement.This study summarized the relevant clinical reports about the etiology and pathogenesis,and the acupuncture treatment for finger spasm after stroke in five years,including drug therapy,acupuncture therapy and other comprehensive therapies.The effects of acupuncture in treating finger spasm after stroke were mainly reviewed from the clinical treatment.The review suggests the broad prospects and further clinical applications of acupuncture treatment for finger spasm after stroke,and puts forward the existing problems and suggestions of improvement.