摘要
背景针刺成为卒中后康复治疗的重要辅助措施之一。目的综述针刺治疗脑卒中的临床进展及其调节机制。内容针刺可明显改善卒中后抑郁(post-strokedepression,PSD)状态,促进偏瘫恢复,降低痉挛状态的发生率,促进认知功能的恢复。此外,针刺可预防颈动脉内膜剥脱术(carotidendarterectomy,CEA)及血管内支架置入术(carotidarterystenting。CAS)术后的再灌注综合征。针刺通过多种机制改善卒中后状态:改善脑缺血局部微循环,拮抗氧自由基损伤,控制炎症反应,减少血栓形成,调节信号转导通路及蛋白质,促进侧支循环等。趋向针刺对脑卒中的治疗效果肯定,其可通过多种途径调节卒中后脑神经功能状态。但将针刺应用于脑卒中手术术中的效果仍需进一步研究。
Background Acupuncture becomes one of the important auxiliary treatments for the rehabilitation of stroke patients. Objective This article reviews recent progress in mechanisms underlying the treatment of stroke with acupuncture. Content In stroke patients, acupuncture can significantly improve post-stroke depression (PSD), promote recovery from hemiplegia, reduce incidence of spasficity, and restores cognitive function. Additionally, acupuncture may help to prevent the reperfusion syndrome after carotid endarterectomy (CEA) and carotid artery stenting (CAS). Physiologically, acupuncture improves local microcirculation in ischemic region, reduces damage of oxygen-free radicals, controls inflammation, prevents formation of thrombosis, regulates several signal transduction pathways, and promotes reconstruction of collateral circulation. These physiological properties may contribute to the therapeutic benefits of acupuncture in stroke. Trend Acupuncture has evident therapeutic values in stroke: improving the functional recovery in var/ous aspects. Further studies are required to elucidate the clinical benefits of acupuncture to brain ischemia patients receiving CEA or CAS.
出处
《国际麻醉学与复苏杂志》
CAS
2017年第7期642-646,共5页
International Journal of Anesthesiology and Resuscitation
关键词
脑卒中
针刺
脑血流量
脑神经功能
Stroke
Acupuncture
Cerebral blood flow
Brain function